Rhode Island General Laws Title 42. State Affairs and Government § 42-7.4-2. Definitions

(1)(i) “ Contribution enrollee” means an individual residing in this state, with respect to whom an insurer administers, provides, pays for, insures, or covers healthcare services, unless excepted by this section.

(ii) “Contribution enrollee” shall not include an individual whose healthcare services are paid or reimbursed by Part A or Part B of the Medicare program, a Medicare supplemental policy as defined in § 1882(g)(1) of the Social Security Act, 42 U.S.C. § 1395ss(g)(1), or Medicare managed care policy, the federal employees' health benefit program, the Veterans' healthcare program, the Indian health service program, or any local governmental corporation, district, or agency providing health benefits coverage on a self-insured basis;

(iii) Delayed applicability for state employees, retirees, and dependents and not-for-profit healthcare corporations. An individual whose healthcare services are paid or reimbursed by the state of Rhode Island pursuant to chapter 12 of title 36 or a not-for-profit healthcare corporation that controls or operates hospitals licensed under chapter 17 of title 23 or a not-for-profit healthcare corporation that controls or operates hospitals licensed under chapter 17 of title 23, and facilities and programs providing rehabilitation, psychological support, and social guidance to individuals who are alcoholic, drug abusers, mentally ill, or who are persons with developmental disabilities or cognitive disabilities, such as brain injury, licensed under chapter 24 of title 40.1 shall not be treated as a “contribution enrollee” until July 1, 2016.

(3)(i) “ Insurer” means all persons offering, administering, and/or insuring healthcare services, including, but not limited to:

(ii) “Insurer” shall not include any nonprofit dental service corporation as defined in § 27-20.1-2, nor any insurer offering only those coverages described in § 42-7.4-13.