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SEPTEMBER 2003 QUESTION OF THE MONTH

Q. As an employer, I pay the full premium cost of my employee’s medical insurance coverage. However, several employees have told me that they have better coverage through their spouse’s employer’s coverage and don’t need the coverage that I provide. Can they sign a waiver and not participate in my medical plan?

A.No. New York State Insurance law section 4235(c)(1)(A) precludes a waiver of health coverage by the employee if the employer pays the entire premium for the coverage.

However, if the employer requires any contribution by the employee towards his or her coverage, the employee may waive coverage.

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This question was an actual inquiry received by our Resourceline from a Business Council member.

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