56-238. DEFINITIONS. As used in sections 56-236 through 56-242, Idaho Code:

(1) "CHIP Plan A" means the existing Idaho children’s health insurance program for children eligible under federal title XXI whose families’ modified adjusted gross incomes do not exceed one hundred fifty percent (150%) of the federal poverty guidelines.

(2) "CHIP Plan B" means the program created in section 56-239, Idaho Code.

(3) "Department" means the state department of health and welfare.

(4) "Director" means the director of the state department of health and welfare.

(5) "Eligible adult" means a person:

(a) Over eighteen (18) years of age living in Idaho;

(b) Whose family’s modified adjusted gross income is less than one hundred percent (100%) of the federal poverty guidelines;

(c) Who is employed full time by a small employer, meaning an employer with two (2) to fifty (50) employees and as such term is defined in section 41-4703, Idaho Code, and who is eligible for health insurance coverage under a small employer health benefit plan regulated under chapter 47, title 41, Idaho Code, or the dependent spouse of such employee; and

(d) Who does not qualify for comparable or greater assistance through other federal or state health insurance or premium assistance programs.

(6) "Eligible child" means a child under nineteen (19) years of age living in Idaho whose family’s modified adjusted gross income falls within federal poverty guidelines for medicaid, CHIP Plan A or CHIP Plan B.

(7) "Health benefit plan" means any hospital or medical policy or certificate, any subscriber contract provided by a hospital or professional service corporation, or managed care organization subscriber contract. Health benefit plan does not include policies or certificates of insurance for specific disease, hospital confinement indemnity, accident-only, credit, dental, vision, medicare supplement, long-term care, or disability income insurance, student health benefits only coverage issued as a supplement to liability insurance, worker’s compensation or similar insurance, automobile medical payment insurance or nonrenewable short-term coverage issued for a period of twelve (12) months or less.

(8) "Modified adjusted gross income" means individual or family income as defined for state medicaid programs in the social security act and the Internal Revenue Code.

(9) "Small business health insurance pilot program" means the program created in section 56-241, Idaho Code.

History:

[56-238, added 2003, ch. 308, sec. 3, p. 845; am. 2006, ch. 270, sec. 1, p. 839; am. 2014, ch. 80, sec. 2, p. 218.]