Connecticut Administrative Code
Title 38a - Insurance Department
272 - Reporting Requirements for Licensees Seeking to do Business With Certain Unauthorized Multiple Employer Welfare Arrangements
Section 38a-272-3 - Definitions
Current through March 14, 2024
As used in Sections 38a-272-3 to 38a-272-10 inclusive:
(a) "Arrangement" means a fund, trust, plan, program or other mechanism by which a person provides, or attempts to provide, health care benefits to individuals.
(b) "Collectively bargained arrangement" means an arrangement which provides or represents that it is providing health care benefits or coverage under or pursuant to one or more collective bargaining agreements. "Collectively bargained arrangement" does not include an arrangement that is fully insured by a licensed insurer.
(c) "Commissioner" means the insurance commissioner of this state.
(d) "Employee leasing arrangement" means labor leasing, staff leasing, employee leasing, contract labor, extended employee staffing or supply, or other arrangements, under contract or otherwise, whereby one business or entity leases or obtains all or a significant number of its workers from another business or entity.
(e) "Employee welfare benefit plan" means any plan, fund or program which was heretofore or is hereafter established or maintained by an employer or by an employee organization, or by both, to the extent that such plan, fund or program was established or is maintained for the purpose of providing for its participants or their beneficiaries, through the purchase of insurance or otherwise, medical, surgical or hospital care benefits, or benefits in the event of sickness, accident disability, death or unemployment.
(f) "Fully insured by a licensed insurer" means that, for all of the health care benefits or coverage provided or offered by or through an arrangement:
(g) "Licensed insurer" means an insurer, as defined in Section 38a-271 of the General Statutes, having a certificate of authority from the Commissioner to transact insurance in this state.
(h) "Producer" has the same meaning as provided in section 38a-702a of the Connecticut General Statutes.
(i) "Reportable MEWA" means a person that provides health care benefits or coverage to the employees of two or more employers. "Reportable MEWA" does not include:
(j) "Rural electric cooperative" means:
(k) "Rural telephone cooperative" means an organization described in Paragraph (4) or (6) of Section 501 (c) of Title 26 of the United States Code which is exempt from tax under Section 501 (a) of Title 26 and at least eighty (80%) percent of the members of which are organizations engaged primarily in providing telephone service to rural areas of the United States on a mutual, cooperative or other basis.