Section 41: Defines "Eligibility" for Individuals and Small Groups

“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.

Summary

Restricts eligibility for individual coverage through the Health Connector to individuals who are not seeking to replace employer-sponsored coverage that complies with minimum creditable coverage standards.