Title I, SEC. 1311. CORPORATE ALLIANCE DEFINED; INDIVIDUALS ELIGIBLE FOR COVERAGE THROUGH CORPORATE ALLIANCES; ADDITIONAL DEFINITIONS. (a) Corporate Alliance Defined. In this Act, the term ``corporate alliance'' means an eligible sponsor (as defined in subsection (b)) if (1) the sponsor elects, in a form and manner specified by the Secretary of Labor consistent with this subpart, to be treated as a corporate alliance under this title and such election has not been terminated under section 1313; and (2) the sponsor has filed with the Secretary of Labor a document describing how the sponsor shall carry out activities as such an alliance consistent with part 3. (b) Eligible Sponsors. (1) In general. In this subpart, each of the following is an eligible sponsor of a corporate alliance: (A) Large employer. An employer that (i) is a large employer (as defined in subsection (e)(3)) as of the date of an election under subsection (a)(1), and (ii) is not an excluded employer described in paragraph (2). (B) Plan sponsor of a multiemployer plan. A plan sponsor described in section 3(16)(B)(iii) of Employee Retirement Income Security Act of 1974, but only with respect to a group health plan that is a multiemployer plan (as defined in subsection (e)(4)) maintained by the sponsor and only if (i) such plan offered health benefits as of September 1, 1993, and (ii) as of both September 1, 1993, and January 1, 1996, such plan has more than 5,000 active participants in the United States, or the plan is affiliated with a national labor agreement covering more than 5,000 employees. (C) Rural electric cooperative and rural telephone cooperative association. A rural electric cooperative or a rural telephone cooperative association, but only with respect to a group health plan that is maintained by such cooperative or association (or members of such cooperative or association) and only if such plan (i) offered health benefits as of September 1, 1993, and (ii) as of both September 1, 1993, and January 1, 1996, has more than 5,000 full-time employees in the United States entitled to health benefits under the plan. (2) Excluded employers. For purposes of paragraph (1)(A), any of the following are excluded employers described in this paragraph: (A) An employer whose primary business is employee leasing. (B) The Federal government (other than the United States Postal Service). (C) A State government, a unit of local government, and an agency or instrumentality of government, including any special purpose unit of government. (c) Individuals Eligible to Enroll in Corporate Alliance Health Plans. For purposes of part 1 of subtitle A, subject to subsection (d) (1) Large employer alliances. (A) Full-time employees. Each eligible individual who is a full-time employee of a large employer that has an election in effect as a corporate alliance is eligible to enroll in a corporate alliance health plan offered by such corporate alliance. (B) One-time option to exempt employees in small establishments. At the time of making an election to become a corporate alliance under this subpart, a large employer may exercise an option to make ineligible for enrollment all full-time employees of the employer employed in any establishment of the employer which has (at the time of the election) fewer than 100 full-time employees. The option under this subparagraph may be exercised separately with respect to each establishment of the employer. (2) Multiemployer alliances. (A) Participants. Each participant and beneficiary (as defined in subparagraph (B)) under a multiemployer plan, with respect to which an eligible sponsor of the plan described in subsection (b)(1)(B) has an election in effect as a corporate alliance, is eligible to enroll in a corporate alliance health plan offered by such corporate alliance. (B) Participant and beneficiary defined. In subparagraph (A), the terms ``participant'' and ``beneficiary'' have the meaning given such terms in section 3 of the Employee Retirement Income Security Act of 1974. (3) Full-time employees of rural cooperative alliances. Each full-time employee of a rural electric cooperative or rural telephone cooperative association (or of a member of such a cooperative or association) which has an election in effect as a corporate alliance is eligible to enroll in a corporate alliance health plan offered by such corporate alliance. (4) Ineligible to enroll in regional alliance health plan. Except as provided in section 1013(b), a corporate alliance eligible individual is not eligible to enroll under a regional alliance health plan. (d) Exclusion of Certain Individuals. In accordance with rules of the Board, the following individuals shall not be treated as corporate alliance eligible individuals: (1) AFDC recipients. (2) SSI recipients. (3) Individuals who are described in section 1004(b) (relating to veterans, military personnel, and Indians) and who elect an applicable health plan described in such section. (4) Employees who are seasonal or temporary workers (as defined by the Board), other than such workers who are treated as corporate alliance eligible individuals pursuant to a collective bargaining agreement (as defined by the Secretary of Labor). (e) Definitions Relating to Corporate Alliances. In this subtitle, except as otherwise provided: (1) Establishment. The term ``establishment'' shall be defined by the Secretary of Labor. (2) Group health plan. The term ``group health plan'' means an employee welfare benefit plan (as defined in section 3(1) of the Employee Retirement Income Security Act of 1974) providing medical care (as defined in section 213(d) of the Internal Revenue Code of 1986) to participants or beneficiaries (as defined in section 3 of the Employee Retirement Income Security Act of 1974) directly or through insurance, reimbursement, or otherwise. (3) Large employer. The term ``large employer'' means an employer that has more than 5,000 full-time employees in the United States, not including (subject to section 1312(a)(3)) any employee located at an establishment for which the option described in subsection (c)(1)(B) is in effect. Such term includes the United States Postal Service. (4) Multiemployer plan. The term ``multiemployer plan'' has the meaning given such term in section 3(37) of the Employee Retirement Income Security Act of 1974, and includes any plan that is treated as such a plan under title I of such Act. (5) Rural electric cooperative. The term ``rural electric cooperative'' has the meaning given such term in section 3(40)(A)(iv) of the Employee Retirement Income Security Act of 1974. (6) Rural telephone cooperative associations. The term ``rural telephone cooperative association'' has the meaning given such term in section 3(40)(A)(v) of the Employee Retirement Income Security Act of 1974.