Section 45 (Part 1): Commonwealth Care Definitions

As used in this chapter, the following words shall, unless the context clearly requires otherwise have the following meanings:—

“Board”, the board of the commonwealth health insurance connector, established by subsection (b) of section 2 of chapter 176Q.

“Connector”, the commonwealth health insurance connector, established by subsection (a) of section 2 of chapter 176Q.

“Eligible health insurance plan”, a health insurance plan that meets the criteria, established by the board, for receiving premium assistance payments; provided, that no eligible health insurance plan may require an annual deductible.

“Eligible individual”, an individual, including a sole proprietor, who meets the eligibility requirements in section 3.

“Fund”, the Commonwealth Care Trust Fund, established by section 2OOO of chapter 29.

“Premium contribution payment”, a payment made by an enrollee in the program towards an eligible health insurance plan, under a fee schedule established by the board.

“Premium assistance payment”, a payment of health insurance premiums made by the connector to an eligible health insurance plan on behalf of an enrollee in the program, under a schedule established by the board.

“Program”, the commonwealth care health insurance program, established by section 2.

“Resident”, a person living in the commonwealth, as defined by the office by regulation, including a qualified alien, as defined by section 431 of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, Pub. L. No. 104-193, or a person who is not a citizen of the United States but who is otherwise permanently residing in the United States under color of law; provided, however, that the person has not moved into the commonwealth for the sole purpose of securing health insurance under this chapter; provided, further, that confinement of a person in a nursing home, hospital or other medical institution in the commonwealth shall not, in and of itself, suffice to qualify a person as a resident.


Provides Connector Commonwealth Care program definitions. Note: the definition of "resident" has been superseded by provisions in the FY 2011 budget and section 95 of chapter 359 of the Acts of 2010.