* § 2807-t. Assessments on covered lives. 1. Definitions. (a)\n"Individual" means a person for whom the specified third-party payor has\nagreed to provide reimbursement for inpatient hospital services in the\nperiod other than:\n (i) any person who is eligible for payments as a beneficiary of title\nXVIII of the federal social security act (medicare);\n (ii) any person for whom the specified third-party payor has agreed to\nprovide reimbursement for inpatient hospital services contingent upon\nsuch person's relationship to an "individual" as a spouse, child,\nstepchild, adopted child, family member, or dependent, as defined by the\nspecified third-party payor, or as contingent upon any other similar\nrelationship to an "individual" as such relationship is defined by the\nspecified third-party payor;\n (iii) any person for whom the specified third-party payor has agreed\nto provide coverage for hospital confinement on other than an expense\nincurred basis;\n (iv) any person for whom the specified third-party payor has agreed to\nprovide reimbursement for inpatient hospital services pursuant to the\nworkers' compensation law, the volunteer firefighters' benefit law, or\nthe volunteer ambulance workers' benefit law;\n (v) any person for whom the specified third-party payor has agreed to\nprovide reimbursement for inpatient hospital services pursuant to the\ncomprehensive motor vehicle insurance reparations act;\n (vi) any person (hereinafter referred to as the "primary insured")\notherwise meeting the definition of an "individual" as set forth under\nthis section if the specified third-party payor has agreed to provide\nreimbursement for such person as part of a "family unit"; and\n (vii) effective on and after April first, two thousand five, any\nperson covered under a student policy issued pursuant to article\nforty-three of the insurance law, or a blanket student accident, blanket\nstudent health, or blanket student accident and health insurance policy.\n (b) "Family unit" means any person for whom the specified third-party\npayor has agreed to provide reimbursement for inpatient hospital\nservices in the period, together with one or more additional persons for\nwhom the specified third-party payor has agreed to provide reimbursement\nfor inpatient hospital services in the period contingent upon such\nperson's relationship to said person as a spouse, child, stepchild,\nadopted child, family member, or dependent, as defined by the specified\nthird-party payor, or as contingent upon any other similar relationship,\nas such relationship is defined by the specified third-party payor.\nExcluded from the definition is any family unit where the specified\nthird-party payor has agreed to provide: coverage for hospital\nconfinement on other than an expense incurred basis; reimbursement for\ninpatient hospital services pursuant to the worker's compensation law,\nthe volunteer firefighters' benefit law, or the volunteer ambulance\nworkers' benefit law; and reimbursement for inpatient hospital services\npursuant to the comprehensive motor vehicle insurance reparations act.\nIf a family unit of two persons includes one person who is eligible for\npayments as a beneficiary of title XVIII of the social security act\n(medicare), that family unit shall be deemed an individual for purposes\nof this section. If a family unit of three or more persons includes one\nperson who is not eligible for medicare and the remaining two or more\npersons are eligible for medicare, that family unit shall be deemed an\nindividual for purposes of this section. A family unit of two or more\npersons, all of whom are eligible for medicare, shall not be considered\na family unit or an individual for purposes of this section.\n (c) "Specified third-party payor", for purposes of this section, shall\nhave the same meaning as set forth in section twenty-eight hundred\nseven-s of this article.\n (d) "Region", for purposes of this section, shall have the same\nm
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