Code of Massachusetts Regulations › 956 CMR - COMMONWEALTH HEALTH INSURANCE CONNECTOR AUTHORITY › Title 956 CMR 11.00 - Employer Fair Share Contribution › Section 11.02 - Definitions

Current through Register 1525, July 5, 2024
Meaning of Terms
: As used in
				956 CMR 11.00, unless the
				context otherwise requires, terms have the following meanings:
Client Company
. A person, association,
				partnership, corporation or other entity that is a co-employer of workers
				provided by a Employee Leasing Company pursuant to a contract.
Connector
. Commonwealth Health
				Insurance Connector Authority established under M.G.L. c. 176Q, §
				2.
Contributing Employer
. An Employer
				that offers a Group Health Plan to which the Employer makes a fair and
				reasonable premium contribution as defined in
				956 CMR
				11.03.
Employee
. An individual employed for
				at least one month during the 12 month period ending with the last day of the
				applicable reporting period by an Employer at a Massachusetts location subject
				to M.G.L. c. 149, § 188.
Employee Leasing Company
. A sole
				proprietorship, partnership, corporation or other form of business entity whose
				business consists largely of leasing employees to one or more Client Companies
				under contractual arrangements that retain for such employee leasing companies
				a substantial portion of personnel management functions, such as payroll,
				direction and control of workers, and the right to hire and fire workers
				provided by the employee leasing company; provided, however, that the leasing
				arrangement is long term and not an arrangement to provide the client company
				temporary help services during seasonal or unusual conditions. Notwithstanding
				any arrangement between a client company and an Employee Leasing Company, the
				Client Company is the Employer for purposes of M.G.L. c. 149, § 188 and
				956 CMR 11.00.
Employer
. An employing unit as defined
				in M.G.L. c. 151A, § 1 of M.G.L. c. 152.
Enrolled Employee
. An employee who has
				accepted and is enrolled in the employer's sponsored Group Health Plan.
Full-time Employee
. A Full-time
				Employee is an Employee that works the lower of:
(a) 35 or more hours per week; or
(b) at least the minimum number of weekly payroll hours
				required for any employee to be eligible for the Employer's Full-time Health
				Plan Benefits.
Full-time Health Plan Benefits
. The
				level of employer contribution to the Group Health Plan that is equivalent to
				the contribution offered to Full-time Employees.
Group Health Plan
. A group health
				plan, as defined in
				26 U.S.C. §
									5000(b), to provide Medical
				Care, whether insured or self-funded, that is:
(a) sponsored and paid for, in whole or in part, by an
				employer; or
(b) sponsored by a self-employed person or an employee
				organization, for the purpose of providing health care (directly or otherwise)
				to the employees, former employees, self-employed individuals, or others
				associated or formerly associated with an employer or self-employed individual
				in a business relationship, or their families to which the employer
				contributed.
Independent Contractor
. An individual
				that provides services not deemed to be employment under M.G.L. c. 151A, §
				2 or M.G.L. c. 152 in the case of services for employing units not subject to
				M.G.L. c. 151A.
Medical Care
. Medical services for the
				diagnosis, cure, treatment, or prevention of disease, as defined in Internal
				Revenue Code § 213(d)(1)(A) and (B).
Multi-employer Group Health Plan
. A
				Multi-employer Health Plan is a Group Health Plan to which more than one
				employer is required to contribute, and which is maintained pursuant to one or
				more collective bargaining agreements between employee organization(s) and the
				employers.
Premium Reimbursement Arrangement
. An
				arrangement under which an employer offers in writing to reimburse its
				employees for a portion of the premium expense of an individual health plan.
				The employee pays all of the monthly premium cost directly to the carrier. The
				employee submits documentation of the premium expense to the employer for
				reimbursement up to the monthly limit established by the arrangement.
Seasonal Employee
. An individual hired
				to perform services for wages by a seasonal employer under M.G.L. c. 151A
				during the seasonal period in the employer's seasonal operations for a specific
				temporary seasonal period; that has been notified by the Division of
				Unemployment Assistance that the individual is performing services in seasonal
				employment for a seasonal employer; whose employment is limited to the
				beginning and ending dates of the employer's seasonal period; and whose
				employment does not exceed 16 weeks.