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emblemhealth


Emblem has released updated information regarding different scenarios of groups and eligiblilty.  It is listed below. Based on our interpretation of additional emerging guidance. Click to access their current position for the indicated scenarios.

Owner and Spouse filing K1’s totaling 100% of partnership (with No NYS-45/W-4 workers). Group is not eligible as no ‘employees’ on payroll. 
Owner and Spouse filing K1’s totaling 100% of partnership (with at least 1one non-spouse NYS45/W-4 employee). Group is eligible regardless of whether or not the NYS-45 employee enrolls.
Owner who files Schedule C (with no NYS-45/W-4 workers). Group is not eligible as no ‘employees’ on payroll.
Owner who files Schedule C (with at least one non-spouse NYS-45 / W-4 Worker). Group is eligible regardless of whether or not the NYS45 employee enrolls.
Owners as K1 totaling 100% of partnership (with spouse as the only NYS-45 / W-4 employee). Not eligible since the NYS-45 worker is the spouse of the owner.
Owner who files Schedule C (with spouse as the only NYS-45/W-4 employee). Not eligible since the NYS-45 worker is the spouse of the owner.


If you have any questions regarding these updates, please call your FNA Representative.