· With few exceptions, small employers cannot be turned down. This is called guaranteed issue. If you employ no more than 50 people, health insurance companies must sell you any small group health plan policy they sell to other small employers. However, they can require that a minimum percentage of your workers participate in your group health plan. They can also require you to contribute a minimum percentage of your workers’ premiums. If you are buying a large group health plan policy for 51 or more employees, your group can be turned down.

· Under no circumstances may you be turned down or charged more because of the genetic information of someone in your group. In addition, insurance companies may not even ask about genetic test results or family history of people in your group when you apply for coverage.

· Your insurance cannot be canceled because someone in your group becomes sick. This is called guaranteed renewability and it applies to group plans of all sizes. Insurers can impose other conditions, however. They can require you to meet minimum participation and contribution rates in order to renew your coverage. Additionally, they can refuse to renew your coverage for nonpayment of premiums, if you commit fraud, or if they are discontinuing that insurance product. In the latter case, they must give you a chance to buy other plans they sell to groups of your size.