Section 230-RICR-20-30-10.2 - DefinitionsA. All words or phrases used in this Part already defined in R.I. Gen. Laws § 27-50-3 shall have the meaning therein. In addition, as used in this Part: 1. "COBRA continuation coverage" means insurance continuation benefits provided under Title X of Pub. L. No. 99-272, as amended.2. "Case characteristic" means the characteristics of a small employer that are considered by the small employer carrier in the determination of premium rates for the small employer.3. "Commissioner" shall mean the health insurance commissioner.4. "Covered employee" means an eligible employee who is or was provided coverage under a group health plan.5. "Individual health insurance policy" means health insurance coverage offered to an individual in his or her capacity as an individual and not in connection with a group health benefit plan or as a small employer.6. "New entrant" includes an eligible employee, or the dependent of an eligible employee, who becomes eligible to participate in a health benefit plan sponsored by a small employer in accordance with the special enrollment provisions under R.I. Gen. Laws § 27-50-7(d)(7) or (8).7. "OHIC" or "Office" means the Office of the Health Insurance Commissioner.8. "Qualified beneficiary" means, with respect to a covered employee under a group health plan, an individual who, on the day before the qualifying event for that employee, is a beneficiary under the plan: a. as the spouse of the covered employee;b. as the dependent child of the covered employee, orc. a child who is born to or placed for adoption with the covered employee during the period of COBRA continuation coverage.9. "Qualifying event" means, with respect to a covered employee, any of the following events that, but for COBRA continuation coverage, would result in the loss of coverage of a qualified beneficiary:a. the death of the covered employee;b. the termination, except for the employee's gross misconduct, or reduction of hours, of the covered employee's employment;c. the divorce or legal separation of the covered employee from the employee's spouse;d. the covered employee becoming entitled to benefits under Title XVIII of the Social Security Act; ore. a dependent child ceasing to be a dependent child under the requirements of the health benefit plan.10. "Risk characteristic" means the health status, claims experience, duration of coverage, or any similar characteristic related to the health status or experience of a small employer group or of any member of a small employer group.230 R.I. Code R. 230-RICR-20-30-10.2