Health Insurance Center
Can My Group Health Insurance Carrier Drop Me From The Policy?
It’s all about you. We want to help you make the right coverage choices.
We strive to help you make confident insurance decisions. Comparison shopping should be easy. We partner with top insurance providers. This doesn't influence our content. Our opinions are our own.
Article 1 of 9 in Health Insurance ArticlesNo. If your health insurance policy comes from an employer-purchased group health insurance plan, then as long as you are an eligible employee of that company, you are guaranteed coverage in the group. The same applies to your family members in most cases. If you work for a small employer (generally 2-50 employees), federal law forbids insurance companies from turning down your employer or any of its eligible employees for group coverage. Health insurance carriers also generally must renew its contracts with small employers every year, unless the employer commits fraud, misrepresentation, or doesnât pay premiums. If you work for a large employer - over 50 employees usually - then the insurance company may reject your entire employer (because of claims history, etc), but it cannot drop individual employees from a valid employer group plan. Only individual plans can exclude individual people.
This requirement to insure regardless of medical and personal history is called "guaranteed issue." Though larger employers can be rejected as a group, the protections for eligible individuals within valid group plans cannot be taken away. This is one of the main reasons why group insurance exists.
Know your particular employerâs policies and how your situation fits in. Use the employerâs support structure to identify your particular situation, and if you like it, know how to keep it. After all, it is your status as eligible employee, not "valid policyholder," that first determines your access to its group health insurance plan.