Amended by section 10104 of the Manager’s Amendment. Defines the large market as the health insurance market under which individuals obtain health insurance coverage through a group health plan maintained by a large employer, defined as employing an average of at least 101 employees on business days during the preceding calendar year. Defines the small group market as applying to those employing an average of at least 1 but not more than 100 employees on business days during the preceding calendar year.
Allows states to define small employers as those with no more than 50 employees for plan years beginning before January 1, 2016. Establishes rules for determining employer size. Defines educated healthcare consumers as individuals who are knowledgeable about the healthcare system, among other criteria.