(a) As used in this subchapter, “group health insurance policy or subscriber contract” means a policy or contract that meets the following conditions:
- (1) coverage is provided through insurance policies or subscriber contracts to classes of employees or members of an organization or group;
- (2) the coverage is not available to the general public and can be obtained and maintained only because of the covered individual’s employment or membership in an organization or group;
- (3) there are arrangements for bulk payment of premiums or subscription charges to the health insurer; and
- (4) there is sponsorship of the plan by the employer, organization, or group.
- (b) A group health insurance policy or subscriber contract shall not be issued or provided by a health insurer unless the policy or contract complies with the provisions of this subchapter and the rules adopted pursuant to this subchapter. (Recodified and amended 2025, No. 11, § 2, eff. September 1, 2025.)