H.B. 1563

VETOES

(II) AN ELIGIBLE EMPLOYEE AS DEFINED IN SUBTITLE 55 OF THIS
ARTICLE FOR THE SMALL EMPLOYER MARKET; AND

(III) AN EMPLOYEE OF AN EMPLOYER WHO:

1. HAS MORE THAN 50 EMPLOYEES IF THE NUMBER OF
EMPLOYEES OBTAINING HEALTH INSURANCE PLAN COVERAGE MEETS THE
MINIMUM PARTICIPATION REQUIREMENTS ESTABLISHED UNDER § 739 OF THIS
SUBTITLE; AND

2. DURING THE 12 MONTHS IMMEDIATELY PRECEDING
JANUARY 1, 1994, DID NOT OFFER AND DID NOT CONTRIBUTE TO THE PREMIUM
PAYMENTS FOR HEALTH INSURANCE FOR THE EMPLOYER'S EMPLOYEES AS
PROVIDED IN § 736 OF THIS SUBTITLE.

(3) "ELIGIBLE EMPLOYEE" DOES NOT INCLUDE AN INDIVIDUAL WHO
WORKS ON A TEMPORARY OR SUBSTITUTE BASIS OR FOR FEWER THAN 30 HOURS
PER WEEK.

(F) (1) "EMPLOYER" MEANS ANY PERSON, SOLE PROPRIETOR, FIRM,
CORPORATION, PARTNERSHIP, OR ASSOCIATION ACTIVELY ENGAGED IN BUSINESS
WHO, ON AT LEAST 50 PERCENT OF ITS WORKING DAYS DURING THE PRECEDING
CALENDAR YEAR EMPLOYED AT LEAST TWO ELIGIBLE EMPLOYEES.

(2) UNTIL JANUARY 1, 1995 CARRIERS WHO DO NOT IMPOSE
PREEXISTING CONDITION LIMITATIONS MAY REQUIRE THAT AN EMPLOYER HAVE
AT LEAST THREE ELIGIBLE EMPLOYEES.

(3) IN DETERMINING THE NUMBER OF ELIGIBLE EMPLOYEES,
COMPANIES WHICH ARE AFFILIATED COMPANIES OR WHICH ARE ELIGIBLE TO FILE
A CONSOLIDATED FEDERAL INCOME TAX RETURN SHALL BE CONSIDERED ONE
EMPLOYER.

(G) "ENROLLEE" MEANS AN ELIGIBLE EMPLOYEE, A DEPENDENT OF AN
ELIGIBLE EMPLOYEE, AN INDIVIDUAL OR A DEPENDENT OF AN INDIVIDUAL WHO
RECEIVES HEALTH COVERAGE THROUGH THE PROGRAM FROM A PARTICIPATING
CARRIER.

(H) (1) "HEALTH BENEFIT PLAN" MEANS:

(I) THE COMPREHENSIVE STANDARD HEALTH BENEFIT PLAN
DEVELOPED BY THE HEALTH CARE ACCESS AND COST COMMISSION; AND

(II) ANY SUPPLEMENTAL BENEFITS APPROVED BY THE

COMMISSIONER.

(2) "HEALTH BENEFIT PLAN" DOES NOT INCLUDE;

(I) ACCIDENT ONLY INSURANCE;

(II) FIXED INDEMNITY INSURANCE;

(III) CREDIT HEALTH INSURANCE;

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