Who is eligible for benefits?
All full-time employees, certain owners, and any part-time employees working on average at least 30 hours of service per week are eligible for benefits. To set the standard hours for a part-time employee, navigate to the “Change Employment” screen of the employee profile.
Your company must have enrollees from at least two different households in order to offer benefits through Justworks.
When is our plan year?
Justworks’ plan year is November 1 – October 31.
The company will have the opportunity to change the plans made available to employees and/or employee contribution levels every Fall during the company plan selection process.
All employees will go through open enrollment each Fall, following company selection.
If an employee switches plans during the open enrollment in the Fall, there is a deductible credit for what the employee has paid into the deductible from one Aetna plan to the new Aetna plan.
How are plan premiums paid?
The company is invoiced fees intended to cover Justworks’ full cost one month in advance, and the company is then credited back as employees pay their portion of the premiums over the two pay periods in the benefit month. For example, Justworks pays the full premium for February in January, and the employees are deducted for one half of their February contribution from each of two paychecks in February.
When are new employees eligible for benefits?
In general, employees are eligible for benefits on the first of the month following their Justworks start date. For example, if an employee starts any day in August, their coverage will be effective September 1. However, a company may set up a 30- or 60-day waiting period which would delay the eligibility date.
New employees have 30 days to pick their plans.
What happens if an employee leaves mid-month?
Employees will remain on their medical, dental, and/or vision plans until the end of the calendar month. Since benefits-related billing takes place a month in advance, if a company has already paid fees intended to cover Justworks’ costs for the next month’s coverage, Justworks will reimburse the company.
Employees will receive a COBRA packet directly from our COBRA administrator within 30 days of the employee’s loss of coverage.
How is my company charged for insurance?
Learn more about company insurance billing here.
This material has been prepared for informational purposes only, and is not intended to provide, and should not be relied on for, legal or tax advice. If you have any legal or tax questions regarding this content or related issues, then you should consult with your professional legal or tax advisor.