individual market

(1) Individual market (A) In general The term “individual market” means the market for health insurance coverage offered to individuals other than in connection with a group health plan. (B) Treatment of very small groups (i) In general Subject to clause (ii), such terms includes coverage offered in connection with a group health plan that has fewer than two participants as current employees on the first day of the plan year. (ii) State exception Clause (i) shall not apply in the case of a State that elects to regulate the coverage described in such clause as coverage in the small group market.


42 USC § 300gg-91(e)(1)

Scoping language

For purposes of this subchapter
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