| | |
this chapter must be deemed and held to be the performance of | | essential governmental functions. |
|
| | | As used in this chapter, unless the context otherwise | | indicates, the following terms have the following meanings. |
|
| | | 1.__Board.__"Board" means the Board of Directors of Dirigo | | Health, as established in section 6904. |
|
| | | 2. Child.__"Child" means a natural child, stepchild, adopted | | child or child placed for adoption with a plan enrollee. |
|
| | | 3.__Dependent.__"Dependent" means a spouse, an unmarried child | | under 19 years of age, a child who is a student under 23 years of | | age and is financially dependent upon a plan enrollee or a person | | of any age who is the child of a plan enrollee and is disabled | | and dependent upon that plan enrollee. "Dependent" may include a | | domestic partner consistent with sections 2741-A, 2832-A and 4249 | | and Title 24, section 2319-A. |
|
| | | 4.__Dirigo Health Insurance.__"Dirigo Health Insurance" means | | the health insurance product established by Dirigo Health that is | | offered by a private health insurance carrier or carriers. |
|
| | | 5.__Eligible business.__"Eligible business" means a business | | that employs at least 2 but not more than 50 eligible employees, | | the majority of whom are employed in the State, including a | | municipality that has 50 or fewer employees. |
|
| | | After one year of operation of Dirigo Health, the board may, by | | rule, define "eligible business" to include larger public or | | private employers. |
|
| | | 6.__Eligible employee.__"Eligible employee" means an employee | | of an eligible business who works at least 20 hours per week for | | that eligible business.__"Eligible employee" does not include an | | employee who works on a temporary or substitute basis or who does | | not work more than 26 weeks annually. |
|
| | | 7.__Eligible individual.__"Eligible individual" means: |
|
| | | A.__A self-employed individual who: |
|
| | | (1)__Works and resides in the State; and |
|
| | | (2)__Is organized as a sole proprietorship or in any other | | legally recognized manner in which a self-employed individual may | | organize, a substantial |
|
|