Eligibility Requirements

There are two enrollment options for health insurance:

  • Sole Proprietors
  • Groups of two or more

For Keystone Sole Proprietor

Criteria for Enrollment

Your company must be located in the Pennsylvania five-county area, which is:

  • Bucks
  • Chester
  • Delaware
  • Montgomery
  • Philadelphia

Provide a copy of your most recently filed Schedule C Form. The applicant must maintain a legitimate business enterprise.

For Group Plans

Participation Guidelines
  • Groups of 2-19 eligible lives must have 100 percent
  • Groups of 20-99 eligible lives must have 75 percent
  • Personal Choice, Keystone Health Plan East and Keystone Point of Services
  • 2-99 employees in the Blue Shield supplemental products (United Concordia and OptiChoice)
Criteria For Enrollment

Your company must be located in the Pennsylvania five-county area. Eighty percent of all eligible employees must work in one of the Pennsylvania five counties:

  • Bucks
  • Chester
  • Delaware
  • Montgomery
  • Philadelphia

You Must:

  • Provide a copy of your most recently filed PA UC-2A Form
  • Submit copies of identification cards for employees that may be covered by a spouse (for contributory plans).
For more information on our benefits and savings programs, please contact Benefits Services, Inc. or call 215-790-3737.