party in interest

(B)For the purposes of this paragraph, the term “party in interest” means— (i)any director, officer, partner, or employee responsible for management or administration of a Medicare+Choice organization, any person who is directly or indirectly the beneficial owner of more than 5 percent of the equity of the organization, any person who is the beneficial owner of a mortgage, deed of trust, note, or other interest secured by, and valuing more than 5 percent of the organization, and, in the case of a Medicare+Choice organization organized as a nonprofit corporation, an incorporator or member of such corporation under applicable State corporation law; (ii)any entity in which a person described in clause (i)— (I)is an officer or director; (II)is a partner (if such entity is organized as a partnership); (III)has directly or indirectly a beneficial interest of more than 5 percent of the equity; or (IV)has a mortgage, deed of trust, note, or other interest valuing more than 5 percent of the assets of such entity; (iii)any person directly or indirectly controlling, controlled by, or under common control with an organization; and (iv)any spouse, child, or parent of an individual described in clause (i). (C)Each Medicare+Choice organization shall make the information reported pursuant to subparagraph (A) available to its enrollees upon reasonable request.

Source

42 USC § 1395w-27(d)(4)(B)


Scoping language

For the purposes of this paragraph
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