N-5000, Employer-Sponsored Health Insurance

Revision 11-3; Effective September 1, 2011

As a condition of an applicant's/recipient's eligibility for Medicaid Buy-In for Children (MBIC), a parent living in the same household as the applicant/recipient must apply for, enroll in and pay any required premiums for employer-sponsored health insurance (ESI) if:

• the parent is actively employed, and
• the parent's employer offers ESI that meets the following criteria:
  • the ESI is a group health plan that covers the applicant/recipient, and
  • the employer contributes at least 50 percent of the total cost of annual premiums.