How can I get medical insurance if I don’t have any workers? – New York Well being Insurance coverage


We get calls from many accountants and CPAs in addition to small enterprise homeowners who need to get medical insurance for a enterprise that doesn’t have any workers in addition to the proprietor or the proprietor’s partner.  They’ve been closed out of the small group market as a result of the Reasonably priced Care Act has decided them to not qualify for small enterprise medical insurance since they don’t make use of a ‘widespread legislation’ worker. Which means somebody aside from the proprietor and/or the proprietor’s partner.

Thankfully, there are some carriers that can permit a enterprise on this scenario to have one other non-spouse shareholder added to their company who shall be energetic within the enterprise 20 hours or extra per week however won’t should enroll or draw wage in the event that they produce other legitimate well being protection.

So, in essence if in case you have a baby 18 years or older, a dad or mum on Medicare, or a sibling who has spousal protection elsewhere and also you add them as a 2% or extra shareholder, you may be eligible for small group medical insurance with a few carriers in NY.

The brand new shareholder doesn’t should be on payroll and if complete shareholders are 2 or much less then you definitely don’t have to hold WC or Incapacity insurance coverage both.  They must attest to working 20 hours per week or extra however you possibly can assign workplace work, bookkeeping or gross sales duties to satisfy this want. There isn’t any payroll required so so long as they attest to working 20 hours or extra, they will legally waive protection in the event that they produce other legitimate protection (parental, spousal, Medicare, Medicaid) after which the enterprise proprietor solely can enroll on a small marketing strategy.

The advantage of having the ability to get hold of small group protection in NY vs the person market is large. Particular person market supplier networks are sometimes a lot smaller, don’t embrace the highest hospitals and medical doctors, and don’t cowl medical doctors and hospitals exterior of the native space if not an emergency.

Plus, small group plans are a deductible expense for a small enterprise (please seek the advice of together with your accountant).

In case you have been searching for methods to get group medical insurance when you have got beforehand been declined or bumped into lifeless ends, arrange a digital cup of espresso with us right this moment! You can too name us instantly to debate at 631-207-1800.


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