What must an insurer do to continue offering a small employer group medical plan?

In the context of small employer group medical plans, an insurer is required to continue offering the plan to all employers within a defined category, particularly if they have met the necessary eligibility standards. This requirement ensures that small employers have access to necessary health coverage options without facing arbitrary restrictions based on selection criteria or fluctuations in employee numbers.

The principle behind this regulation is to promote equality and fairness in health coverage offerings, ensuring that small employers can provide insurance to their employees as long as they comply with the essential conditions set through the law. This includes adherence to rules regarding underwriting, renewal provisions, and offering consistency across eligible small businesses.

This requirement contrasts with other options that might imply discrimination or limitation based on enrollment numbers or selective offering, which would not align with the principles aimed at protecting small employers in the marketplace.