Every employer must be able to comply with the requirements of the BANN Eligibility Attestation annually (to be turned in with the Adoption Agreement in Step 4).
Every employer must also meet the standards in the Association Health Plan Participation Requirements.
Enroll in BANN by completing the BANN Membership Application.
To help you with the health coverage application process, please use the Group Application Checklist.
Complete the BANN Adoption Agreement – 2021 Age Banded.
Complete and turn in the BANN Eligibility Attestation (required annually for all new and renewing groups).
For partnerships with no employees, complete the Business Attestation Form.
All employers must complete the Common Ownership Attestation Form.
COBRA must be made available to all eligible BANN Benefit Trust Fund employees and their dependents when they terminate employment, have a reduction in hours or otherwise become ineligible for coverage. COBRA must be made available regardless of the number of employees.
Please download and complete the iSolved Service Agreement and submit it to your Hometown Health Account Manager or identify who will administer COBRA for the group.
The Summary Plan Description Wrap Document as well as the applicable Evidence of Coverage and Schedule of Benefits should be printed and distributed to every employee as described in the SPD Guidelines for Distribution.