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House Journal: Page 793: Tuesday, March 25, 1997

18     "Sec. ___.  Section 513B.2, subsection 6, paragraph
19   a, Code 1997, is amended to read as follows:
20     a.  A distinct grouping may only be established by
21   the small employer carrier on the basis that the
22   applicable health benefit plans insurance coverages
23   meet one or more of the following requirements:
24     (1)  The plans coverages are marketed and sold
25   through individuals and organizations which are not
26   participating in the marketing or sales of other
27   distinct groupings of small employers for the small
28   employer carrier.
29     (2)  The plans coverages have been acquired from
30   another small employer carrier as a distinct grouping
31   of plans.
32     (3)  The plans coverages are provided through an
33   association with membership of not less than fifty
34   small employers which has been formed for purposes
35   other than obtaining insurance.
36     Sec. ___.  Section 513B.2, subsection 9, Code 1997,
37   is amended to read as follows:
38     9.  "Eligible employee" means an employee who works
39   on a full-time basis and has a normal work week of
40   thirty or more hours.  The term includes a sole
41   proprietor, a partner of a partnership, and an
42   independent contractor, if the sole proprietor,
43   partner, or independent contractor is included as an
44   employee under a health benefit plan health
insurance
45   coverage of a small employer, but does not include an
46   employee who works on a part-time, temporary, or
47   substitute basis."
48     3.  Page 2, lines 32 and 33, by striking the words
49   and figure "paragraph a, Code 1997, is" and inserting
50   the following:  "paragraphs a, b, and c, Code 1997,

Page 2  

 1   are".
 2     4.  Page 3, by inserting after line 9 the
 3   following:
 4     "b.  The individual is employed by an employer that
 5   offers multiple health benefit plans insurance
 6   coverages and the individual elects a different plan
 7   coverage during an open enrollment period.
 8     c.  A court has ordered that coverage be provided
 9   for a spouse or minor or dependent child under a
10   covered employee's health benefit plan insurance
11   coverage and the request for enrollment is made within
12   thirty days after issuance of the court order."
13     5.  Page 3, by inserting after line 18 the
14   following:
15     "Sec. ___.  Section 513B.2, subsection 13, Code
16   1997, is amended to read as follows:
17     13.  "New business premium rate" means, for each

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