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CoverTN Eligibility

CoverTN is open to uninsured Tennesseans, at least 19-years-old, who work for qualifying small businesses, are self-employed or work but do not have health insurance. In addition, those who have recently become unemployed or had work hours reduced may also be eligible. The spouse of a CoverTN member may also be eligible for coverage under CoverTN.

Employers
Located in Tennessee
50 or fewer full-time equivalent employees
50% of employees earn $55,000 or less per year
Business offers plan to all employees
Business must pay at least one-third share of premium
Business has not offered employer-sponsored insurance in the previous six months or, if offered, employer has not paid 50% or more of the employee's premiums*

Employees at Participating Employers
A U.S. citizen or qualified legal alien
19-years-old or older
Works an average of at least 20 hours per week
Has not had health insurance in the previous six months (individual or group coverage)*
Must agree to pay one-third of the premium

Employee at Non-Participating Employers
Tennessee resident for six months
A U.S. citizen or qualified legal alien
19-years-old or older
Works an average of 20 hours per week
Earns $55,000 or less per year
Has not had health insurance in the previous six months (individual or group coverage)*
Must agree to pay two-thirds of the premium

Self-Employed Eligibility
Self-employed individuals are eligible to apply for CoverTN. Self-employed means that you are in business for yourself or are an independent contractor and your business does not have any employees. Self-employed applicants, to be eligible for CoverTN, must be able to show income from the business equal to at least 20 hours per week at minimum wage, or about $6,800 per year.
Tennessee resident for six months
A U.S. citizen or qualified legal alien
19-years-old or older
Works an average of 20 hours per week
Earns $55,000 or less per year in adjusted gross income
Has not had health insurance in the previous six months (individual or group coverage)*
Must agree to pay two-thirds of the premium

Tennesseans Between Jobs
Worked at least one 20-hour week in the previous six months or had work hours reduced to less than 20 hours per week
Unemployed in the previous six months
Earned $55,000 or less per year
Tennessee resident for six months
A U.S. citizen or qualified legal alien
19-years-old or older
Must agree to pay two-thirds share of the premium
Does not currently have health insurance

Local County Governments
At least 50% of employees earn $55,000 or less per year
50% minimum participation of eligible employees
County must pay two-thirds share of premiums
County cannot have offered employer-sponsored health insurance in the previous 12 months
The state will not subsidize any portion of the CoverTN premium for Local County Governments.

Employees at Local County Governments
A U.S. citizen or qualified legal alien
19-years-old or older
Works at least 20 hours or more per week, on average
Have not had health insurance in the last six months (individual or group coverage)*
Must agree to pay one-third share of the premium

Coverage for Spouses
Spouses of CoverTN participants may be eligible for coverage if they meet the following eligibility requirements. An employer is not obligated to contribute to the spouse's premium and employees must pay whatever portion of the spouse's premium the employer does not cover. An employee must enroll in CoverTN in order for the spouse to be eligible.
Tennessee resident for six months (exceptions apply)
A U.S. citizen or qualified legal alien
19-years-old or older
Has not had health insurance in the previous six months
Must agree to pay two-thirds share of the premium

Coverage for Children
Children of CoverTN participants are not eligible for coverage under this program but may be eligible for coverage through CoverKids.

* Exception to the go-bare requirement may apply
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Cover Tennessee | 312 Rosa L. Parks Avenue | Suite 2600 | Nashville, TN 37243 | 1.866.CoverTN