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Part-time Health Insurance Benefits

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Basha9

Junior Member
What is the name of your state? Florida
I was under the impression that if you worked a minimum of 25 hours per week you would be eligible for Health Insurance Benefits.
 


cbg

I'm a Northern Girl
Then you were mistaken. No law requires an employer to provide health insurance benefits to part time workers. In fact, except in Hawaii, no law requires an employer to provide health insurance benefits at all.

Who is eligible for health insurance benefits and at what number hours per week is entirely up to the employer and their health insurance plan.
 

Basha9

Junior Member
In Florida, I was told that 25 hours of working constitutes full time employment and therefore eligible for health insurance.
 

cbg

I'm a Northern Girl
You were told wrong. That is not the case.

That may have been the company policy of the person who told you. It is not the law.
 

Basha9

Junior Member
Just a few more facts in my case. I was working 20 hours per week and approached by my employer that if I worked 25 hours, by Florida State Law I would be eligible (as a full-time employeee) for Health Insurance which he does offer to all his employees. I accepted and had Health Insurance for about a year. But, as I got older and the rates increased he changed his mind and stated if I wanted to continue with benefits I must work at least 35 hours or go back to 20 hours and loose coverage. Being age 61 at the time and not in the greatest health I was totally unable to work 35 hours. Subsequently, I lost coverage and now am uninsured and have thousands in hospital bills.
 

cbg

I'm a Northern Girl
Your employer was 100% wrong about Florida state law making you eligible for health insurance if you work 25 hours per week. I don't care what he said. He may have actually believed it to be the case. However:

1. THERE IS NO IN FLORIDA LAW REQUIRING AN EMPLOYER TO PROVIDE ANY HEALTH INSURANCE IN THE FIRST PLACE.

2. EMPLOYERS WHO DO OFFER HEALTH INSURANCE ARE FREE TO SET THEIR OWN REQUIREMENTS AS TO WHO IS ELIGIBLE AND WHO IS NOT as long as they do so in a manner that is non-discriminatory under Title VII and related state laws (when applicable).

The above two statements are true not only in Florida, but in every state. (There is one exception, Hawaii, to #1 - I have heard rumors that Alaska is an exception to #2 but have as yet to find any confirmation.) If your boss said otherwise, he is either mistaken or lying. Period. End of statement. No further argument.

That being said, an employee's eligibility for health insurance benefit is defined in the plan document. While an employer can make only certain classes of employee eligible for health insurance (i.e. only employees who work x number of hours per week but not those who work less; only managment employees but not clerical; only office but not shop, and so on) once those classes are established every employee in an eligible class must be offered benefits. Evidently, at least initially, in your case an employee was eligible when they worked 25 hours a week. I am going to say it again: THIS IS NOT DUE TO FLORIDA STATE LAW: IT IS DUE TO THE DEFINITIONS IN THE COMPANY INSURANCE PLAN DOCUMENT.

An employer MAY make changes to the plan document with the permission of the insurance company. If the employer has changed the document to say that NOW any employee has to work 35 weeks to be eligible, that is legal. REPEAT that is LEGAL.

However, if the plan document still says that eligibility is at 25 hours per week and the employer has decided that you, and only you, have to work 35 hours per week, that is illegal, not under Florida state law but under ERISA, which is a Federal law, and possibly under Title VII.

Do you realize that in this entire thread you have not asked a single question? Do you see how much easier it would have been if you had told us your story from the beginning and asked your question instead of making unsupported statements and waiting for us to comment?
 

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