Common use of Contribution and Participation Requirements Clause in Contracts

Contribution and Participation Requirements. HEALTH PLAN and GROUP understand and agree to the following contribution and participation requirements for the provision of services pursuant to the Agreement. 1. For medical coverage, GROUP must contribute a minimum of the equivalent of fifty percent (50%) of the Premium cost of the Employee-only rate in the reference plan selected by the Employer. 2. For medical coverage, GROUP must have a minimum of seventy percent (70%) of Eligible Employees enroll in a QHP through the SHOP. If the GROUP pays 100 percent of its Qualified Employees’ QHP premiums, then all Eligible Employees must enroll in health coverage through the SHOP. For purposes of participation, eligible employees are not included in the calculation for minimum participation requirements if they are enrolled in coverage through another employer, an employee’s union, Medicaid, Medicare, any other federal or state health coverage programs, or any health coverage meeting the definition of minimum essential coverage pursuant to Health and Safety Code Section 1345.5. 3. If GROUP does not meet such minimum contribution and minimum participation requirements, GROUP may only enroll with HEALTH PLAN through SHOP from November 15th through December 15th of each year.

Contribution and Participation Requirements. HEALTH PLAN and GROUP understand and agree to the following contribution and participation requirements for the provision of services pursuant to the Agreement. 1. For medical coverage, GROUP must contribute a minimum of the equivalent of fifty percent (50%) of the Premium cost of the Employee-only rate in the reference plan selected by the Employer. 2. For medical coverage, GROUP must have a minimum of seventy percent (70%) of Eligible Employees enroll in a QHP through the SHOP. If the GROUP Group pays 100 percent of its Qualified Employees’ ' QHP premiums, then all Eligible Employees must enroll in health coverage through the SHOP. For purposes of participation, eligible employees are not included in the calculation for minimum participation requirements if they are enrolled in coverage through another employer, an employee’s union, Medicaid, Medicare, any other federal or state health coverage programs, or any health coverage meeting the definition of minimum essential coverage pursuant to Health and Safety Code Section 1345.5. 3. If GROUP does not meet such minimum contribution and minimum participation requirements, GROUP may only enroll with HEALTH PLAN through SHOP from November 15th through December 15th of each year.

Contribution and Participation Requirements. HEALTH PLAN and GROUP understand and agree to the following contribution and participation requirements for the provision of services pursuant to the Agreement. 1. For medical coverage, GROUP must contribute a minimum of the equivalent of fifty percent (50%) of the Premium cost of the Employee-only rate in the reference plan selected by the Employer. 2. For medical coverage, GROUP must have a minimum of seventy percent (70%) of Eligible Employees enroll in a QHP through the SHOP. If the GROUP pays 100 percent of its Qualified Employees’ QHP premiums, then all Eligible Employees must enroll in health coverage through the SHOP. For purposes of participation, eligible employees are not included in the calculation for minimum participation requirements if they are enrolled in coverage through another employer, an employee’s union, Medicaid, Medicare, any other federal or state health coverage programs, or any health coverage meeting the definition of minimum essential coverage pursuant to Health and Safety Code Section 1345.5. 3. If GROUP does not meet such minimum contribution and minimum participation requirements, GROUP may only enroll with HEALTH PLAN through SHOP from November 15th through December 15th of each year.