If you and your spouse/domestic partner both work at the same company and you both want to enroll in your company's small group health insurance, there are two things you can do:
1. Enroll as separate individuals
2. Enroll under one policy
If you and your spouse/domestic partner enroll as separate individuals, you will each have your own separate deductible to meet. If you decide to enroll as a family, you will have a family deductible. This would be a good idea if you and your spouse have children together since your entire family would be subject to one deductible. If you do not have children, you can enroll as individuals.
If you enroll under one policy, one of you will still need to "decline" the insurance and tell your employer you do not want to sign up as an individual employee. You can then enroll as a dependent under your spouse or domestic partner's plan.
Your monthly premium amount will be the exact same if you enroll as two separate individuals or if you enroll under one policy. However, the amount your employer contributes to your monthly premiums may change. Employers are required to contribute 50% to employees' premiums. They are not required to contribute to dependent(s) premiums.
If it is just you and your husband or wife enrolling, and you have no dependents, and your company does not contribute to dependent(s) premiums, it would be best to enroll as separate individuals so that your company can contribute to each of your monthly premiums. This way, you each pay less per month for your health insurance.
The only part of the health plan that changes is the deductible. Usually, the family deductible is 2x as much as the individual deductible. For example, if the individual deductible is $2,000 the family deductible is $4,000. This is generally the standard but it can vary so it's important to check the details of your specific plan.
If you have questions regarding whether or not your employer contributes to dependents premium, please reach out to them directly. If you have any other questions about this, please reach out to us at firstname.lastname@example.org.