50 Ill. Adm. Code 2025.30
Definitions
Section 2025.30 Definitions
"Act" means the Illinois
Health Insurance Portability and Accountability Act [215 ILCS 97].
"Anniversary Date" means
the annually recurring date of the initial issuance of the policy.
"COBRA" means
the federal Consolidated Omnibus Budget Reconciliation Act
of 1985 (29 U.S. C. 1161 through 1168 and 42 U.S.C. 300bb-1 through 300bb- 8).
"Code" means the
Illinois Insurance Code [215 ILCS 5].
"Department" means the
Department of Insurance.
"Director" means the
Director of the Department of Insurance.
"Employee" means any
individual employed by an employer
.
(29 U.S.C. 1002(6))
"Employer" means any
person acting directly as an employer, or indirectly in the interest of an
employer, in relation to an employee benefit plan, and includes a group or
association of employers acting for an employer in such capacity. Employer
shall include only employers of 2 or more employees. (29 U.S.C. 1002(5))
"Group Health Plan"
means an employee welfare benefit plan (as defined in section 3(1) of the
Employee Retirement Income Security Act of 1974
(29 U.S.C. 1002))
to the
extent that the plan provides medical care (as defined in paragraph (2) of that
section 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.
[215 ILCS 97/5]
"Health Insurance Issuer"
means an insurance company, insurance service, or insurance organization
(including a health maintenance organization) which is licensed to engage in
the business of insurance in a state and which is subject to Illinois law that
regulates insurance (within the meaning of section 514(b)(2) of the Employee
Retirement Income Security Act of 1974
(29 U.S.C. 1144))
. This term
does not include a group health plan.
[215 ILCS 97/5]
"Renewal Date" means
each annual anniversary date unless otherwise specifically defined by the
contract. A renewal date may not be defined to a period shorter than the
underwriting and benefit time frames established by the contract.