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.
Additionally, for Composite Plan eligibility, your group must pass underwriting by:
Providing claims data to Hometown Health OR
Provide, for each of your employees, completed and signed Medical Assessment Form.
If your are not eligible, you may still enroll in a BANN Age Banded Plan.
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 Composite.
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.
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.