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State RegulationsNC specificDifficulty 1/5

In North Carolina health insurance law, which description best fits an eligible employee for purposes of the small employer group rules?

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Answer & full 3-part explanation (select an option above, or peek)

Why C is correct

Under G.S. 58-50-110(10) and (22), an eligible employee is a full-time employee with a normal workweek of 30 or more hours, and a small employer is one that on at least 50 percent of its working days in the preceding calendar quarter employed no more than 50 eligible employees. The full-time, 30-hour standard anchors which workers count toward the small-employer test.

Why the other options are wrong

  • A) Three consecutive months is the prior-coverage duration needed to elect group continuation, not the eligible-employee test.
  • B) The statute sets the threshold at a normal workweek of 30 or more hours, so a 10-hour schedule does not qualify an employee.
  • D) Length of service plays no role in the eligible-employee definition; the hours-based full-time standard controls.

Memory hook

Eligible = full-time, 30-plus hours; months and tenure never count.

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