Code of Massachusetts Regulations
940 CMR - OFFICE OF THE ATTORNEY GENERAL
Title 940 CMR 9.00 - Group Health Care Insurers, Termination Of Coverage
Section 9.03 - Definitions

Covered Dependent means the eligible spouse, former spouse, child or foster child of a Subscriber who was covered under a Group Health Insurance Plan on the day before the effective date of the termination of the Group Health Insurance Plan.

Group Health Care Insurer means a Person who contracts to pay for or provides health care services to Massachusetts residents under a Group Health Insurance Plan, including but not limited to any Person authorized to do business pursuant to M.G.L. c. 175, any nonprofit hospital service corporation organized pursuant to M.G.L. c. 176A, any medical service corporation organized pursuant to M.G.L. c. 176B, any dental service corporation organized pursuant to M.G.L. c. 176E, any optometric service corporation organized pursuant to M.G.L. c. 176F, any health maintenance organization organized pursuant to M .G.L. c. 176G, and any preferred provider arrangement organized pursuant to M.G.L. c. 176I. 940 CMR 9.00 is not intended to apply to the activities of such Persons in providing administrative services to employers who maintain self-funded group health insurance plans or to multi employer plans maintained pursuant to collective bargaining agreements.

Group Health Insurance Plan means a contract, arrangement or policy between a Group Health Care Insurer and a Sponsor under which the Group Health Care Insurer agrees to pay for or provide medical, chiropractic, optometric, dental or other health care services. For the purposes of 940 CMR 9.00, the term Group Health Insurance Plan does not include employer self-funded plans or multi employer plans maintained pursuant to collective bargaining agreements.

Sponsor means any Person including, but not limited to, employer, professional, trade and civic organizations, who has a place of business in Massachusetts and who maintains a Group Health Insurance Plan covering two or more Subscribers and their Covered Dependents.

Subscriber means a Sponsor's present or former eligible employees or members who were covered under the Sponsor's Group Health Insurance Plan on the day before the effective date of the termination of the Group Health Insurance Plan.

Person means a natural person or organization including a corporation, partnership, association, cooperative or trust, or any other legal entity.