New Participating Employer

Eligibility & Compliance

Who's Eligible?

• Full-Time W2 Employees working 30+ hours per week
• Full-Time Independent Contractors working 30+ hours per week
• Employed Owners

Who's Not?

• Part-Time W2 employees
• Part-Time Independent Contractors working less than 30 hours per week
• Seasonal Employees

Benefits are effective the 1st of the month following 30 days from full-time date of hire. It is your responsibility to report eligibility changes, whether new or terminating. These changes should be sent to [email protected].

Your Business

• Greyfinch does not file 1094-C/1095-C forms. It is your responsibility as the employer to file 1094-C/1095-C forms if you are considered an Applicable Large Employer by the IRS.
• If you are deducting eligible benefits on a pre-tax basis, you should maintain a Cafeteria Plan document on file. If you need a template, please contact [email protected].

Premium Billing

It is your responsibility as the employer to payroll deduct all premiums and remit payment in full for the total amount due for all benefits enrolled. You will receive one monthly bill for all monthly premiums for Health Advantage, Blue Cross Blue Shield, and Reliance Standard. You will be direct-billed separately for the Greyfinch Direct Dental Care plan. Invoices are distributed electronically and payments can only be made via ACH.

Medical Insurance

Employer Medical Contributions

Employers are required to contribute towards the cost of medical insurance. Below is a table representing the contribution options and the percent relative to both plans. The contribution amount will be credited to the medical premium of each participating employee and if enrolled in a plan or coverage level with a higher premium, the employee pays the difference. Please indicate your contribution amount below:

Direct Dental Care

Our plans include preventive care covered at 100% and exclusive access to other discounted procedures, including orthodontics.

You must see a Greyfinch provider for Direct Dental Care benefits. You can view our network at https://www.greyfinch.health/ or you can email [email protected] for a full list of providers.

Dental Insurance

Dental benefits are offered through Blue Cross Blue Shield on a voluntary basis. This means the employee may elect to enroll, but they pay 100% of the premium. Benefit Summaries are available upon request.

Vision Insurance

Vision benefits are offered through Blue Cross Blue Shield on a voluntary basis. This means the employee may elect to enroll, but they pay 100% of the premium. Benefit Summaries are available upon request.

Employer Admin Fees

No change to the admin fees for the 2021 plan year. Here are the admin fees you will see on your invoice:

Employer Information