eligible individuals under health benefits 
coverage in the small group market. 
‘‘(ii) 
CONSTRUCTION.—Nothing 
in 
this title shall be construed as requiring or 
permitting a health insurance issuer to 
provide coverage outside the service area of 
the issuer, as approved under State law. 
‘‘(C) NO FINANCIAL UNDERWRITING.—The 
HealthMart provides health benefits coverage 
only through contracts with health insurance 
issuers and does not assume insurance risk with 
respect to such coverage. 
‘‘(D) MINIMUM COVERAGE.—By the end of 
the first year of its operation and thereafter, 
the HealthMart maintains not fewer than 10 
purchasers and 100 members. 
‘‘(3) GEOGRAPHIC AREAS.— 
‘‘(A) 
SPECIFICATION
OF
GEOGRAPHIC 
AREAS.—The HealthMart shall specify the geo-
graphic area (or areas) in which it makes avail-
able health benefits coverage offered by health 
insurance issuers to employers, or individuals, 
as the case may be. Any such area shall encom-
pass at least one entire county or equivalent 
area.
‘‘(B) MULTISTATE AREAS.—In the case of 
a HealthMart that serves more than one State, 
such geographic areas may be areas that in-
clude portions of two or more contiguous 
States. 
‘‘(C) 
MULTIPLE
HEALTHMARTS
PER-
MITTED IN SINGLE GEOGRAPHIC AREA.—Noth-
ing in this title shall be construed as preventing 
the establishment and operation of more than 
one HealthMart in a geographic area or as lim-
iting the number of HealthMarts that may op-
erate in any area. 
‘‘(4) PROVISION OF ADMINISTRATIVE SERVICES 
TO PURCHASERS.— 
‘‘(A) IN GENERAL.—The HealthMart pro-
vides administrative services for purchasers. 
Such services may include accounting, billing, 
enrollment information, and employee coverage 
status reports. 
‘‘(B) CONSTRUCTION.—Nothing in this 
subsection shall be construed as preventing a 
HealthMart from serving as an administrative 
service organization to any entity. 
‘‘(5) DISSEMINATION
OF
INFORMATION.—The 
HealthMart collects and disseminates (or arranges
for the collection and dissemination of) consumer- 
oriented information on the scope, cost, and enrollee 
satisfaction of all coverage options offered through 
the HealthMart to its members and eligible individ-
uals. Such information shall be defined by the 
HealthMart and shall be in a manner appropriate to 
the type of coverage offered. To the extent prac-
ticable, such information shall include information 
on provider performance, locations and hours of op-
eration of providers, outcomes, and similar matters. 
Nothing in this section shall be construed as pre-
venting the dissemination of such information or 
other information by the HealthMart or by health 
insurance issuers through electronic or other means. 
‘‘(6) 
FILING
INFORMATION.—The 
HealthMart— 
‘‘(A) files with the applicable Federal au-
thority information that demonstrates the 
HealthMart’s compliance with the applicable re-
quirements of this title; or 
‘‘(B) in accordance with rules established 
under section 2903(a), files with a State such 
information as the State may require to dem-
onstrate such compliance.
‘‘(b) HEALTH
BENEFITS
COVERAGE
REQUIRE-
MENTS.— 
‘‘(1) COMPLIANCE
WITH
CONSUMER
PROTEC-
TION REQUIREMENTS.—Any health benefits coverage 
offered through a HealthMart shall— 
‘‘(A) be underwritten by a health insurance 
issuer that— 
‘‘(i) is licensed (or otherwise regu-
lated) under State law, 
‘‘(ii) meets all applicable State stand-
ards relating to consumer protection, sub-
ject to section 2902(b), and 
‘‘(iii) offers the coverage under a con-
tract with the HealthMart; 
‘‘(B) subject to paragraph (2), be approved 
or otherwise permitted to be offered under 
State law; and 
‘‘(C) provide full portability of creditable 
coverage for individuals who remain members of 
the same HealthMart notwithstanding that they 
change the employer through which they are 
members in accordance with the provisions of 
the parts 6 and 7 of subtitle B of title I of the 
Employee Retirement Income Security Act of 
1974 and titles XXII and XXVII of this Act,