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| 6.__Eligible individual. "Eligible individual" means: |
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| A. A self-employed individual who: |
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| (1)__Works and resides in the State; and |
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| (2)__Is organized as a sole proprietorship or in any | other legally recognized manner in which a self- | employed individual may organize, a substantial part of | whose income derives from a trade or business through | which the individual has attempted to earn taxable | income; |
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| B.__An unemployed individual who resides in this State; or |
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| C.__An individual employed in an eligible business that does | not offer health insurance. |
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| | 7.__Employer.__"Employer" means the owner or responsible agent | of a business authorized to sign contracts on behalf of the | business. |
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| | 8.__Executive director.__"Executive director" means the | Executive Director of Dirigo Health. |
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| | 9.__Health insurance carrier.__"Health insurance carrier" | means: |
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| A.__An insurance company licensed in accordance with this | Title to provide health insurance; |
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| B.__A health maintenance organization licensed pursuant to | chapter 56; |
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| C.__A preferred provider arrangement administrator | registered pursuant to chapter 32; or |
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| D.__A nonprofit hospital or medical service organization or | health plan licensed pursuant to Title 24. |
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| | 10.__Health plan in Medicaid.__"Health plan in Medicaid" means | a health insurance carrier that meets the requirements of 42 Code | of Federal Regulations, Part 438 (2002) and has a contract with | the Department of Human Services to provide MaineCare-covered | services to individuals enrolled in MaineCare. |
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| | 11.__Participating employer. "Participating employer" means an | eligible business whose employees are plan enrollees in Dirigo | Health Insurance. |
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