§ 36-6060.10. Definitions  


Latest version.
  • As used in this act:

    1.  “Base period” means the period of coverage pursuant to the issuance or renewal of a health benefit plan that is required to provide benefits pursuant to the provisions of Section 6060.11 of this title;

    2.a.“Health benefit plan” means any plan or arrangement as defined in subsection C of Section 6060.4 of this title, except as provided in subparagraph b of this paragraph.

    b.The term “health benefit plan” shall not include individual plans;

    3.  “Severe mental illness” means any of the following biologically based mental illnesses for which the diagnostic criteria are prescribed in the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders:

    a.schizophrenia,

    b.bipolar disorder (manic-depressive illness),

    c.major depressive disorder,

    d.panic disorder,

    e.obsessive-compulsive disorder, and

    f.schizoaffective disorder; and

    4.  “Small employer” means any person, firm, corporation, partnership, limited liability company, association, or other legal entity that is actively engaged in business that, on at least fifty percent (50%) of its working days during the preceding calendar year, employed no more than fifty (50) employees who work on a full-time basis, which means an employee has a normal work week of twenty-four (24) or more hours.

Added by Laws 1999, c. 153, § 1, eff. Jan. 1, 2000.  Amended by Laws 2010, c. 222, § 41, eff. Nov. 1, 2010.