PENNSYLVANIA, February 16 - 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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