factor relating to the members or their dependents.
(vi) Does not make health insurance coverage offered
through the association available other than in
connection with a member of the association.
(b) Large group market plans.--If the association described
in subsection (a) includes 51 or more employees, the policy
issued to the association shall:
(1) Be treated as a large group market plan subject to
the large group market insurance regulations under the Public
Health Service Act (58 Stat. 682, 42 U.S.C. § 201 et seq.).
The policy shall be guaranteed issue and guaranteed
renewable.
(2) Be subject to the group health plan coverage
requirements under the Patient Protection and Affordable Care
Act (Public Law 111-148, 124 Stat. 119), including, but not
limited to, the prohibition against denying coverage based on
a preexisting condition.
(3) Comply with all coverage mandates applicable to a
large group market plan offered in this Commonwealth.
(4) Provide a level of coverage that equals the
actuarial value for a platinum, gold, silver or bronze plan
as specified under section 1302(d) of the Patient Protection
and Affordable Care Act. The level of coverage under this
paragraph shall not have an actuarial value below 60%.
(c) Issuer requirements.--
(1) If the association specified under subsection (a)(2)
is composed of employer members that are sole proprietors or
do not share the same industry, trade or profession to the
extent permitted under regulations of the United States
Department of Labor in relation to ERISA, a health insurance
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