Feb 04, 2019
Oscar Health has extended and expanded their relaxed promotion through June 15, 2019 effective dates. Relaxed Participation Rules Only employees in Oscar’s service area, Los Angeles and Orange Counties: rating regions 15, 16, and 18, will be counted toward participation as long as the number of employees is under 100 in all locations. No DE9C for Groups of 5+
- Groups enrolling more than 5 employees don’t need to submit the DE-9C if they supply the prior carrier’s bill showing that 80% of employees match the enrollment.
- Groups are still eligible for this promo if they have more than 5 eligible employees, but fewer than 5 enrolled due to valid waivers.
IFP Coverage Is a Valid Waiver An employee with individual coverage is considered a valid waiver, with or without a subsidy (APTC). New! Relaxed Split Carrier Participation Rules
- Only 3 eligible employees are required to enroll with Oscar as long as 60% of the eligible employees enroll in a plan offered by the employer.
Oscar Health can be written alongside any other carrier, and any plan type — HMO, PPO, or EPO. Contact your LISI Regional Sales Manager for Oscar Health selling strategies.
