Section 20: Amended Definition of Eligible Individual For Employer Sponsored Insurance

As used in this chapter the following words shall have the following meanings, unless the context clearly requires otherwise: [unchanged text not shown]

“Eligible individual”, an individual who is a resident of the commonwealth and who is not seeking individual coverage to replace an employer-sponsored health plan for which the individual is eligible and which provides coverage that is at least actuarially equivalent to minimum creditable coverage.

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Summary

Amends the definition of “eligible individual” to restrict eligibility for individual coverage to individuals who are not seeking to replace employer-sponsored coverage that complies with minimum creditable coverage standards.