40-2239. Small employer health benefit plans; definitions.

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40-2239. Small employer health benefit plans; definitions. As used in this act, unless the context requires otherwise:

(a)"Carrier" means an insurance company, medical or hospital service corporation, medical and hospital service corporation or health maintenance organization which holds a valid certificate of authority from the insurance commissioner.

(b)"Commissioner" means the commissioner of insurance.

(c)"Eligible employee" means an employee who is employed by the employer for an average of at least 30 hours per week and who elects to participate in one of the benefit plans provided under this act, and includes individuals who are sole proprietors, business partners and limited partners. The term "eligible employee" does not include individuals:

(1)Engaged as independent contractors;

(2)whose periods of employment are on an intermittent or irregular basis; or

(3)who have been employed by the employer for fewer than 90 days.

(d)"Family member" means an eligible employee's spouse and any unmarried dependent child or stepchild.

(e)"Health benefit plan" means a contract for group medical, surgical, hospital or any other remedial care recognized by state law and related services and supplies.

(f)"Health savings account" means a trust created or organized in the United States as a health savings account exclusively for the purpose of paying the qualified medical expenses of the account beneficiary, but only if the written governing instrument creating the trust meets the requirements specified by the medicare, prescription drug, improvement and modernization act of 2003, Pub. L. No. 108-173, 117 Stat. 2067.

(g)"Premium" means the monthly or other periodic charge for a health benefit plan.

(h)"Small employer health benefit plan" means an arrangement providing a health benefit plan for the purpose described in K.S.A. 40-2240 , and amendments thereto.