Small Group Medical

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Small Business coverage

To qualify for small-group coverage, a group must meet the following criteria, and be made up of at least two employees. Please note that small-business owners are counted as employees for group-coverage purposes.

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Small Business and 1099

Small businesses (and certain organizations, like non-profits) are generally eligible for group health insurance so long as they can show two or more full-time taxable employees (1099 employees are not considered full-time taxable employees).

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Personal Information

First Name: MI: Last Name:
E-Mail Address:
Business Name: Business Type:
Street Address 1:
Street Address 2:
City: State: Zip:
Primary Phone Number: Ext:
Secondary Phone Number: Ext:
FAX Number:

Coverage Information

How many people will be enrolling?
Does your firm currently have offices in multiple States?
Does your firm currently have health insurance?
If you have coverage, when does your health insurance renew?
If you have coverage, who is your carrier?
Does your firm currently have workers' compensation insurance?
What position do you hold in this company?
What is the best time to contact you about your application? Morning, before 11am
Mid-day, 11am to 1pm
Evening, after 1pm

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Florida Gulf Coast University Alumni Association

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