§ 23-79-2002 — Definitions

As used in this subchapter: (1) (A) "Health benefit plan" means an individual, blanket, or group plan, policy, or contract for healthcare services issued or delivered by a healthcare payor in this state. (B) "Health benefit plan" does not include workers' compensation plans, Medicaid, or a plan that provides only dental benefits or eye and vision care benefits; (2) (A) "Healthcare payor" means an entity or individual that contracts, pays, or arranges for payment, in whole or in part, for the delivery of healthcare services or products that are covered by a health benefit plan administered, issued, or delivered by the entity or individual. (B) "Healthcare payor" includes a health insurance company, a health maintenance organization, a hospital and medical services corporation, and an entity that provides or administers a self-funded health benefit plan, including a governmental plan; (3) "Identification card" means a card or other technology that functions like a card issued by a healthcare payor to a subscriber or member and containing information related to the member's identity and health benefit plan; (4) "Member" means an individual enrolled or subscribed for healthcare services or products that are covered by a health benefit plan; and (5) "Short-term, limited duration insurance" means a health benefit plan that has an expiration date specified in the contract that is less than twelve (12) months after the original effective date of the contract and, taking into account renewals or extensions, has a duration of no longer than thirty-six (36) months.

Legislative History

Amended by Act 2023, No. 500,§ 2, eff. 8/1/2023. Added by Act 2019, No. 706,§ 1, eff. 4/4/2019.