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Atlantis Health Plan Group Eligibility
- The group must be actively in business with a street address in one of the
five Boroughs: Manhattan, Brooklyn, Queens, Bronx and Staten Island.
- Eligible groups must have between 2 to 50 full time employees. Full time will
be considered at least 20 hours per week. One employee group can be submitted only
when accompanied by a waiver from the second eligible employee.
- Owners, Partners and officers must meet minimum hourly requirement. An officer
of the company should provide written employment verification.
- Participation requirement is 50% participation after spousal waivers. No
minimum requirements for HMO. Employees waiving coverage must submit waiver form with case
submission.
- Atlantis requires all enrolling subscribers to reside or work in the contracted area: Manhattan, Queens, Brooklyn, Staten Island and Bronx.
- Medicare recipients are eligible so long as they meet the criteria #2.
- Eligible dependents are defined as a legally married spouse or legally dependent children up to the age of 19, or to age 23 if financially
dependent child is enrolled at an accredited educational institution. A student rider to age 25 is available for an additional cost.
- The following are excluded from eligibility and coverage:
- Individual compensated on 1099 basis.
- Domestic Partner of an eligible employee.
- Household help.
- Seasonal Workers, consultants & temporary personnel.
- Retirees.
- Should Atlantis Health Plan determine that group information is materially false,
we reserve the right to terminate or deny coverage.
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