Working Americans Access to Health Care Act of 1991

[AI summary unavailable — showing source text] Working Americans Access to Health Care Act of 1991 - Title I: Increase in Small Employer Access to Affordable Health Insurance - Provides for the development by the National Association of Insurance Commissioners (NAIC) of model standards regarding certain requirements of this Act. Allows more stringent State standards. Preempts State law concerning a small employer health benefit plan that meets portions of those standards relating to initial writing, premium increases, and market reentry. Requires each small employer carrier to offer a MedEquity plan, defined as: (1) providing only basic benefits; (2) being guaranteed issue; (3) meeting initial writing, premium increase, and market reentry standards; and (4) providing for cost containment. Sets forth special rules for health maintenance organizations (HMOs). Requires each MedEquity plan to: (1) accept every small employer that applies; (2) enroll every full time employee that applies and their spouse and dependents. Sets forth special rules for HMOs. Provides for development by NAIC of models for cost containment features in MedEquity plans, including a managed care plan. Requires each State to specify the model that will be app…