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There have been three major changes with respect to fully insured group health plans in

Ohio. The first two modifications are legislative changes that bring Ohio in line with the

Federal rules and the final one is a change in the Ohio Department of Insurance's

position on spousal coverage. The Federal government also issued some transitional

relief for small employers.

1. Change in Definition of Eligible Employee for Small Groups

Ohio requires small employers sponsoring fully insured health plans to offer coverage to

“eligible employees.” Eligible employee is defined as an employee that works, on