42 U.S.C. § 300gg–91

29 U.S.C. 1002(1)42 U.S.C. 1320dsection 9831(d)(2) of title 26The term “group health plan” means an employee welfare benefit plan (as defined in section 3(1) of the Employee Retirement Income Security Act of 1974 []) to the extent that the plan provides medical care (as defined in paragraph (2)) and including items and services paid for as medical care) to employees or their dependents (as defined under the terms of the plan) directly or through insurance, reimbursement, or otherwise. Except for purposes of part C of title XI of the Social Security Act ( et seq.), such term shall not include any qualified small employer health reimbursement arrangement (as defined in ).

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1 See References in Text note below.

1 A program under which creditable coverage described in subparagraph (C), (D), (E), or (F) of section 2701(c)(1)  is provided shall be treated as a group health plan for purposes of applying section 2701(e).

The term “health insurance coverage” means benefits consisting of medical care (provided directly, through insurance or reimbursement, or otherwise and including items and services paid for as medical care) under any hospital or medical service policy or certificate, hospital or medical service plan contract, or health maintenance organization contract offered by a health insurance issuer.

29 U.S.C. 1144(b)(2)The term “health insurance issuer” means an insurance company, insurance service, or insurance organization (including a health maintenance organization, as defined in paragraph (3)) which is licensed to engage in the business of insurance in a State and which is subject to State law which regulates insurance (within the meaning of section 514(b)(2) of the Employee Retirement Income Security Act of 1974 []). Such term does not include a group health plan.

The term “group health insurance coverage” means, in connection with a group health plan, health insurance coverage offered in connection with such plan.

The term “individual health insurance coverage” means health insurance coverage offered to individuals in the individual market, but does not include short-term limited duration insurance.

section 1395ss(g)(1) of this titleMedicare supplemental health insurance (as defined under ), coverage supplemental to the coverage provided under chapter 55 of title 10, and similar supplemental coverage provided to coverage under a group health plan.

The term “applicable State authority” means, with respect to a health insurance issuer in a State, the State insurance commissioner or official or officials designated by the State to enforce the requirements of this subchapter for the State involved with respect to such issuer.

29 U.S.C. 1002(8)The term “beneficiary” has the meaning given such term under section 3(8) of the Employee Retirement Income Security Act of 1974 [].

29 U.S.C. 1002(6)The term “employee” has the meaning given such term under section 3(6) of the Employee Retirement Income Security Act of 1974 [].

29 U.S.C. 1002(5)The term “employer” has the meaning given such term under section 3(5) of the Employee Retirement Income Security Act of 1974 [], except that such term shall include only employers of two or more employees.

29 U.S.C. 1002(33)The term “church plan” has the meaning given such term under section 3(33) of the Employee Retirement Income Security Act of 1974 [].

¹The term “health status-related factor” means any of the factors described in section 2702(a)(1).

The term “network plan” means health insurance coverage of a health insurance issuer under which the financing and delivery of medical care (including items and services paid for as medical care) are provided, in whole or in part, through a defined set of providers under contract with the issuer.

29 U.S.C. 1002(7)The term “participant” has the meaning given such term under section 3(7) of the Employee Retirement Income Security Act of 1974 [].

The term “placement”, or being “placed”, for adoption, in connection with any placement for adoption of a child with any person, means the assumption and retention by such person of a legal obligation for total or partial support of such child in anticipation of adoption of such child. The child’s placement with such person terminates upon the termination of such legal obligation.

29 U.S.C. 1002(16)(B)The term “plan sponsor” has the meaning given such term under section 3(16)(B) of the Employee Retirement Income Security Act of 1974 [].

The term “State” means each of the several States, the District of Columbia, Puerto Rico, the Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands.

section 18021(a) of this titleThe term “qualified health plan” has the meaning given such term in .

section 18031 of this titleThe term “Exchange” means an American Health Benefit Exchange established under .

The term “large employer” means, in connection with a group health plan with respect to a calendar year and a plan year, an employer who employed an average of at least 51 employees on business days during the preceding calendar year and who employs at least 2 employees on the first day of the plan year.

The term “large group market” means the health insurance market under which individuals obtain health insurance coverage (directly or through any arrangement) on behalf of themselves (and their dependents) through a group health plan maintained by a large employer.

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3 So in original.

The term “small employer” means, in connection with a group health plan with respect to a calendar year and a plan year, an employer who employed an average of at least 1 but not more than 50 employees on business days during the preceding calendar year and who employs at least 1 employees  on the first day of the plan year.

The term “small group market” means the health insurance market under which individuals obtain health insurance coverage (directly or through any arrangement) on behalf of themselves (and their dependents) through a group health plan maintained by a small employer.

Notwithstanding paragraphs (2) and (4), nothing in this section shall prevent a State from applying this subsection by treating as a small employer, with respect to a calendar year and a plan year, an employer who employed an average of at least 1 but not more than 100 employees on business days during the preceding calendar year and who employs at least 1 employee on the first day of the plan year.