Skilled Nursing Facility. A Facility which mainly provides full-time Skilled Nursing Care for Ill or Injured people who do not need to be in a Hospital. It must carry out its stated purpose under all relevant state and local laws, and it must either: be accredited for its stated purpose by The Joint Commission; or be approved for its stated purpose by Medicare. SMALL EMPLOYER. Means in connection with a Group Health Plan with respect to a Calendar Year and a Plan year, an employer who employed an average of at least 1 but not more than 50 Employees on business days during the preceding Calendar Year and who employs at least 1 Employee on the first day of the Plan Year. All persons treated as a single employer under subsection (b), (c), (m) or (o) of section 414 of the Internal Revenue Code of 1986 shall be treated as one employer. In the case of an Employer which was not in existence throughout the preceding Calendar Year, the determination of whether such employer is a small or large employer shall be based on the average number of Employees that it is reasonably expected such Employer will employ on business days in the current Calendar Year. The following calculation must be used to determine if an employer employs at least 1 but not more than 50 Employees. For purposes of this calculation:
Appears in 7 contracts
Samples: Hmo Plan Contract, Hmo Plan Contract, Hmo Plan Contract
