Univera Healthcare logo
Login | Register | Forgot Username | Forgot Password
By Phone
By Email
By Mail
Visit Us In-Person
News and Updates
Print Forms
About Us
Compliance Notices
Employer Update | March 2017
Employer Update | March 2017

Important Change In Eligibility

Beginning with new business effective May 1, 2017, we will no longer be able to accept business where the sole owner of a business is the only one enrolling in group coverage.  Beginning with January 1, 2018, renewals, groups where only the sole owner is enrolled will be moved to the individual market.  We will provide details of this process at a later date.      

This decision is based on the following guidance: Under ERISA, the sole owner of a business (including a C or S corporation) and his/her spouse, cannot be the only enrollees in a group plan.  Under ERISA, an employee welfare benefit plan does not exist if the only enrollees are the owner or owner and spouse (see 29 CFR 2510.3-3).  Thus, whether the owner includes himself/herself on the NYS45 is not relevant.

Please contact your account representative or broker with any questions.

 

home     news & updates     print forms     about us     fraud & abuse     glossary     accreditations   
Language Assistance and Non-Discrimination Notice

Copyright © 2019, Univera Healthcare, an Excellus company. View our Web Privacy Policy for information on how we protect your privacy. Use of this site indicates your acceptance of our Terms of Use. You will need Internet Explorer or Google Chrome to use the secure features of this site.