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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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