Employee Census

Insurers use an “employee census” to obtain specific information to estimate the health care costs your group is likely to incur. California law limits the types of information that the insurer can request and the ways that information can be used in determining your premium.

A census does not include health status, race, religion, sexual orientation (even if applying for domestic partner benefits), Social Security number, or U.S. citizenship/immigration status.

In order to provide you with a rate quote, insurers will ask you to complete a census form that requires the following information for each of your employees:

  • Name
  • Age or date of birth
  • Number of dependents
  • Zip code
Download the “Employee Census Data” form in the tool box.