Update: Group Size Attestation for Small Groups

  • Small Group News
    Published July 22, 2019

    Applies to renewing groups with 1–50 plan subscribers

    Premera Blue Cross is making it easier for small businesses to verify they meet the appropriate size requirements for a small group plan.

    Starting July 1, 2019, renewing small groups need to complete only one form, the Group Size Attestation, to verify their group size. When groups with less than three subscribers submit the completed form, they need to also provide a copy of the most recent IRS form W-2 for one eligible employee.

    We want to make it easier for you

    To help you answer questions your small group clients might have, refer to this handy FAQ.

    Who needs to complete this form?
    • Renewing groups with 1-50 subscribers must complete the new Group Size Attestation form.
    When will we send this request?
    • Groups will receive the form annually within their renewal package.
    What will we ask them to do?
    • Complete the Group Size Attestation form as well as a W-2, if required, and return it to their producer or general agency within 15 business days for submission to Premera Blue Cross.
    Why are we making this request?
    • This is needed to comply with state and federal regulations.
    What do you need to know? Groups with fewer than 3 enrolled employees:
    • You must provide a copy of the most recent IRS form W-2 for at least one eligible employee.


    Groups with 3 or more enrolled employees:
    • If the Group Size Attestation form is not returned, we will deem the information included in the renewal package to be accurate and unchanged from the previous plan year.

    If you have questions about this new requirement, you may reach out to your Premera representative.

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