Code of Maine Rules
02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
031 - BUREAU OF INSURANCE
Chapter 840 - PRIVATE PURCHASING ALLIANCES
Section 031-840-4 - Definitions

Current through 2024-38, September 18, 2024

A. "Alliance" means a private purchasing alliance as defined by 24-A M.R.S.A. §1951(2).

B. "Board" means the Board of Directors of a private purchasing alliance.

C. "Carrier" has the same meaning as in 24-A M.R.S.A. §1951(1).

D. "Enrollee" means an individual, employee, or dependent who is enrolled in a health benefit plan offered through the alliance by a participating carrier.

E. "Individual" means an individual not affiliated with a member employer.

F. "Individual member" means an individual who enrolls in a private purchasing alliance.

G. "Member" means an individual member or a member employer.

H. "Late enrollee" has the same meaning as in 24-A M.R.S.A. §2808-B(1)(E).

I. "Member employer" means an employer that enrolls in a private purchasing alliance.

J. "Participating carrier" means a carrier that contracts with a private purchasing alliance to provide coverage to enrollees under a health benefit plan.

K. "Small employer" means an "eligible group" as defined by 24-A M.R.S.A. §2808-B(1)(D).

L. "Superintendent" means the Superintendent of Insurance.

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