| G.__"Late enrollee" means an eligible employee or dependent | who requests enrollment in a small group health plan | following the initial minimum 30-day enrollment period | provided under the terms of the plan, except that an | eligible employee or dependent is not considered a late | enrollee if the eligible employee or dependent meets the | requirements of section 2849-B, subsection 3, paragraph A, | B, C-1 or D. |
|
| H.__"New business premium rate" means, for each class of | business as to a rating period, the premium rate charged or | offered by the carrier to small employers with similar case | characteristics for newly issued health benefit plans with | the same or similar coverage. |
|
| I.__"Rating period" means the calendar period for which the | premium rates established by a carrier are assumed to be in | effect as determined by the carrier. |
|
| J.__"Small employer" means any person, firm, corporation, | partnership or association actively engaged in business | that, on at least 50% of its working days during the | preceding year, employed no more than 50 eligible employees | and at least 2 eligible employees. In determining the number | of eligible employees, companies that are affiliated | companies or that are eligible to file a combined tax return | for purposes of state taxation must be considered one | employer. |
|
| K.__"Small group health plan" means any hospital and medical | expense-incurred policy; health, hospital or medical service | corporation plan contract; or health maintenance | organization subscriber contract covering an eligible group.__ | "Small group health plan" does not include the following | types of insurance: |
|
| (4)__Long-term care or nursing home care; |
|
| (5)__Medicare supplement; |
|
|