Iowa Admin. Code r. 191-77.2

Current through Register Vol. 47, No. 13, December 25, 2024
Rule 191-77.2 - Definitions

In addition to the definitions set forth in Iowa Code section 507A.3, the following definitions shall apply to this chapter:

"Association health plan" or "AHP" means a group health plan or an employee welfare benefit plan established by a bona fide group or association of employers.

"Authorized representative" means an individual designated by a MEWA or AHP to act for the MEWA or AHP in completion of the duties described in this chapter and may include an officer, director or legal representative.

"Beneficiary" means as it is defined in 29 U.S.C. Section 1002(8).

"Commissioner" means the Iowa insurance commissioner or, as delegated by the commissioner, the insurance division.

"Employee" means as it is defined in 29 U.S.C. Section 1002(6).

"Employee welfare benefit plan" means as it is defined in 29 U.S.C. Section 1002(1).

"Employer member" means an employer participating in a MEWA or AHP.

"Health coverage" means a policy or certificate that provides coverage for medical, dental, optical, surgical, hospital, accident and sickness, prescription, or disability benefits or life insurance.

"Insurer" means as it is defined in Iowa Code section 5071(2)."e."

"MEWA" means a multiple employer welfare arrangement as defined in 29 U.S.C. Section 1002(40).

"Participant" means an enrollee or other beneficiary covered under a MEWA or AHP.

"Person" means an individual, partnership, joint venture, corporation, mutual company, joint-stock company, trust, estate, unincorporated organization, association, or employee organization, or as "person" is defined in 29 U.S.C. Section 1002(9).

Iowa Admin. Code r. 191-77.2

Amended by IAB September 26, 2018/Volume XLI, Number 7, effective 9/12/2018