Eligibility Guidelines

Domestic Partner Benefits

The document provides compliance guidance for employers offering domestic partner benefits, covering eligibility, verification, taxation, and related regulatory considerations.

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Election Change Flow Chart

The Election Change Flow Chart outlines when employees can make mid-year changes to health coverage based on qualifying events and federal benefit rules.

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Leave Of Absence (LOA) Benefits

This document guides employers on how to manage employee benefit eligibility, payment, and compliance during various types of leave of absence to avoid legal and financial risks.

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Look Back Measurement Period Guide

This document provides guidance for applicable large employers (ALEs) on using the §4980H Look-Back Measurement Method to determine employee full-time status for health coverage eligibility under the Affordable Care Act. It explains rules for ongoing employees and new hires, outlines measurement, administrative, and stability periods, and addresses scenarios such as status changes, breaks in service, and compliance requirements to avoid penalties.

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Nondiscrimination Rules

Explains IRS requirements that prevent employers from favoring highly compensated or key employees in tax-favored benefit plans, outlining applicable regulations, testing procedures, and correction strategies to maintain compliance.

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Spousal Dependent Carve Out Incentives

Explains employer strategies for managing healthcare costs through spousal and dependent coverage changes while ensuring compliance with federal regulations.

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