Group Eligibility
Member Eligibility Requirements
Enrollment
100

Proof of Federal Tax ID number

File Quarterly Wage Detail Reports (QWDR) with the State of Michigan

Census (Employee Count)

Business must withhold payroll taxes from employees (W-2)

What are the required documents to verify group eligibility

100

Someone who works a minimum of 30 hours per week on a full-time basis with a normal workweek. This can sometimes be reduced to 17.50 if the employer permits.


What is an eligible employee

100

Loss of eligibility

New dependent

Loss of Medicaid

CHIP 

State premium assistance

What is a Qualifying Event

200

True or False

Does the group have to be headquartered in Michigan?

What is False

200

Temporary Employees

Independent Contractors and commissioned personnel receiving a 1099

Interns, students in training, and co-ops

Shareholders and members of a company’s Board of Directors

Illegal aliens

What is an ineligible employee

200

If an employee is moving from part time to full time, when can they enroll for coverage?

What is the effective date of full-time employment or next open enrollment period. 

300

True or False

Group can have multiple Federal Tax IDs

What is True

300

Birth

Marriage

Legal Adoption

Legal Guardianship

Temporary Legal Guardianship

Foster child

What is a dependent under age 26. 

300

Notice is received within 31 days of the event.

What is the coverage effective date.