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therealsanmah/united_response.json

Created February 14, 2020 06:24
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united_response.json
{
"response": [
{
"version": "e4a88d99-d019-4528-ac2f-a16bac8adb51",
"name": "group_level_eligibility.employer_must_be_based_in_state_or_service_area",
"options": [
true
],
"enforcement": {
"category": "carrier",
"confidence": 100
},
"addendums": "Business must be located in licensed service area to be eligible for the products in that area.",
"source": {
"category": "carrier"
}
},
{
"version": "5383e81e-80d7-4467-a7fd-d1fa86bee7bd",
"name": "group_level_eligibility.exceptions_to_no_owner_only_group",
"options": [
true
],
"enforcement": {
"category": "carrier",
"confidence": 100
},
"addendums": "Owner Only groups are permitted as long as they are not husband/wife only and must be filed as an S or C Corp. If a child is a W2 employee that has zero ownership in the company (non-owner), they would be considered an eligible employee (and qualify for group coverage)",
"source": {
"category": "carrier"
}
},
{
"version": "fae2f37c-3436-446a-898b-1abfe8be69a0",
"name": "group_level_eligibility.maximum_number_employees_medical",
"options": [
99
],
"enforcement": {
"category": "carrier",
"confidence": 100
},
"source": {
"category": "carrier"
}
},
{
"version": "48b02319-368d-425b-8212-6ee184d92b2f",
"name": "group_level_eligibility.medical_riders_available_with_minimum_group_size",
"options": [
false
],
"enforcement": {
"category": "carrier",
"confidence": 100
},
"addendums": "Infertility coverage is embedded in some medical plans regardless of group size and is also available as a supplemental benefit to HMO plans.",
"source": {
"category": "carrier"
}
},
{
"version": "ccae9a9e-2a97-47b3-8fa4-897c38323cfd",
"name": "group_level_eligibility.minimum_number_employees_medical",
"options": [
1
],
"enforcement": {
"category": "carrier",
"confidence": 100
},
"source": {
"category": "carrier"
}
},
{
"version": "cb87611a-be60-4d3d-9dd0-4234ea18147d",
"name": "group_level_eligibility.owner_only_group_allowed",
"options": [
false
],
"enforcement": {
"category": "carrier",
"confidence": 100
},
"source": {
"category": "carrier"
}
},
{
"version": "72ec7f33-a6c6-4c65-8796-297d44c8543a",
"name": "group_level_eligibility.owners_counted_in_group_size",
"options": [
true
],
"enforcement": {
"category": "carrier",
"confidence": 100
},
"source": {
"category": "carrier"
}
},
{
"version": "80afca92-6ba6-4bb7-a586-9d8852cd3708",
"name": "group_level_eligibility.special_rules_around_OOS_eligibility",
"options": [
true
],
"enforcement": {
"category": "carrier",
"confidence": 100
},
"addendums": "At least 51% of all eligible employees must be employed in California.\nNo more than 25% of eligible employees may be located in Vermont.",
"source": {
"category": "carrier"
}
},
{
"version": "534a4636-9a00-4f34-9c7b-da1d0088f264",
"name": "participation_requirements.minimum_participation_medical_contributory",
"options": [
60
],
"enforcement": {
"category": "carrier",
"confidence": 100
},
"source": {
"category": "carrier"
}
},
{
"version": "d00c2e19-fa99-421c-afc0-865010870690",
"name": "participation_requirements.minimum_participation_medical_noncontributory",
"options": [
100
],
"enforcement": {
"category": "carrier",
"confidence": 100
},
"source": {
"category": "carrier"
}
},
{
"version": "cf22504f-bc63-44ef-bcfd-0ca44f7c4bc2",
"name": "participation_requirements.owners_counted_toward_participation",
"options": [
true
],
"enforcement": {
"category": "carrier",
"confidence": 100
},
"source": {
"category": "carrier"
}
}
]
}
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