Small group market definition
Examples of Small group market in a sentence
Small group market enrollees must be considered in the same risk pool.
Small group market has the meaning in section 2791(e)(5) of the PHS Act and section 1304(a)(3) of the Affordable Care Act.Subscriber refers both the group market and the individual market.
Only at the time of cov- erage renewal may issuers modify the health insurance coverage for a prod- uct offered to a group health plan in the—(1) Large group market; and(2) Small group market if, for cov- erage available in this market (other than only through one or more bona fide associations), the modification is consistent with State law and is effec- tive uniformly among group health plans with that product.
Small group market overview: The small group market in Colorado is composed of employers who provide employee health coverage through a Colorado-regulated health plan and have 50 or fewer eligible employees in Colorado for half of the year or longer.
For allpolicies issued in the large group market in a State during the MLR reporting year, an issuer must provide a rebate to enrollees if the issuer has an MLR of less than 85 percent, as determined in accordance with this part.(b) Small group market.