Definitions

(a)“Health Insurance Providers” are all companies or other legal entities providing or applying to provide health insurance or the provision of healthcare to government employees and retirees, and foster children.

(b)“HIPAA” is the federal law called Health Insurance Portability and Accountability Act of 1996 (HIPPA) allowing provisions for allowing individuals under certain conditions to enroll for health coverage without excessive exclusions for pre-existing medical conditions and other provisions.

(c)“Special Enrollment Periods” is a time period allowing individuals to seek Health Insurance Benefits under the provisions of the HIPAA.

(d)“Health benefits” is a defined set of benefit coverage consisting of, but not limited to, medical or dental care which is provided directly, through insurance or reimbursement, or otherwise, and including items and services paid for considered care that is self funded or offered by a health insurance provider.

(e)“Exclusive proposal” means a proposal based upon the assumption that the government will contract with only one

(1)health insurance provider that is selected by the negotiating team from up to three

(3)different health insurance providers that all negotiate best and final offers with the negotiating team.

(f)“Non-exclusive proposal” means a proposal based upon the assumption that the government will contract with three

(3)health insurance providers that negotiate best and final offers with the negotiating team. If only two

(2)health insurance providers submit qualified proposals then non-exclusive proposal shall mean a proposal based upon the assumption that the government will contract with two

(2)health insurance providers that negotiate best and final offers with the negotiating team.

(g)“Qualified proposal” means a proposal from a health care provider that submits both an exclusive and a non-exclusive proposal and meets the minimum requirements specified in the RFP in response to any request for proposals for the Government of Guam Health Insurance Program.

(h)“Foster children” shall include only those foster children under the legal custody of the Child Protective Services Division of the Department of Public Health and Social Services.