Can an employer make you take health insurance if already have with your spouse?

It depends on the specific circumstances and the employer's policies. In general, employers are not required to provide health insurance to employees who already have coverage through their spouse. However, some employers may offer dependent coverage as an option for employees, allowing them to add their spouse and children to their employer's health insurance plan.

In some cases, employers may require employees to enroll in the company health insurance plan if their spouse's coverage does not meet certain standards, such as minimum coverage levels or network adequacy. This is often done to ensure that employees have access to quality health insurance and to avoid adverse selection, where employees with higher healthcare costs are more likely to enroll in the employer-sponsored plan while healthier employees opt out.

It's important to note that the Affordable Care Act (ACA) does not require employers to offer health insurance to their employees. However, employers with 50 or more full-time employees are subject to certain reporting and payment requirements if they do not offer affordable and minimum essential coverage to their employees.

If you are unsure about your employer's health insurance policies or whether you are required to enroll in the company plan, it's best to consult with your employer's human resources department or benefits administrator for clarification.