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Products



Eligibility Guidelines

ELIGIBLE COMPANIES

To be eligible for coverage a company must:

  • Be actively in business
  • Enroll 1-9 eligible employees (owners included)
  • Contribute 50% of the Individual and 33% of the Family premium
  • Be located within the Tufts Health Plan service area
  • Be a member in good standing of HSA

ELIGIBLE EMPLOYEES

An eligible employee is one who:

  • Works at least 30 hours per week for the employer
  • Was hired to work for a period not less than 5 months
  • Lives or works within the Tufts Health Plan service area

NEW EMPLOYEES

All future eligible employees can be enrolled within 30 days of hire or within a time frame consistent with company new hire probation policy

WAIVER OF COVERAGE

Full Time employees can be excluded who are:

  • Covered by a spouse’s or parent’s health plan
  • Age 65 or over and covered by Medicare
  • Living outside the Tufts Health Plan service area

PARTICIPATION REQUIREMENTS

Groups of 1-5

  • 100% of eligible employees must enroll

Groups of 6-9

  • 75% of eligible employees must enroll

PLAN SELECTION

All employees must select the same plan

EFFECTIVE DATE

Complete applications and premium payment for new business must be
received by HSA at least 5 days prior to the requested effective date.
All coverage will be effective on the 1st day of the month.