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| | | This chapter may be known and cited as "the Comprehensive | | Health Insurance Risk Pool Association Act." |
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| | | It is the purpose of this chapter to establish a mechanism to | | distribute among all insurers doing business in this State the | | costs of providing health and accident insurance coverage to | | those residents of this State who because of health conditions | | consume unusually large amounts of health care and to ensure a | | competitive insurance market. |
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| | | As used in this chapter, unless the context otherwise | | indicates, the following terms have the following meanings. |
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| | | 1. Association. "Association" means the Comprehensive Health | | Insurance Risk Pool Association established in section 3904. |
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| | | 2.__Board. "Board" means the board of directors of the | | association. |
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| | | 3.__Covered person.__"Covered person" means an individual | | resident of this State, exclusive of dependents, who: |
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| | | A. Is eligible to receive benefits from an insurer; |
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| | | B.__Is eligible for benefits under the federal Health | | Insurance Portability and Accountability Act of 1996; or |
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| | | C.__Has been certified as eligible for federal trade | | adjustment assistance or for pension benefit guarantee | | corporation assistance, as provided by the federal Trade | | Adjustment Assistance Reform Act of 2002. |
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| | | 4.__Dependent.__"Dependent" means a resident spouse or | | resident unmarried child under 19 years of age, a child who is a | | student under 23 years of age and who is financially dependent | | upon the parent or a child of any age who is disabled and | | dependent upon the parent. |
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| | | 5.__Health maintenance organization.__"Health maintenance | | organization" means an organization authorized under chapter 56 | | to operate a health maintenance organization in this State. |
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| | | 6.__Insurer.__"Insurer" means an entity that is authorized |
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