Arkansas § 23-99-1801 Definitions

Arkansas Statutes

§ 23-99-1801 — Definitions

As used in this subchapter:

(1)"Enrollee" means an individual who is entitled to receive healthcare services under the terms of a health benefit plan;

(2)"Ground ambulance services" means services authorized and licensed by the Department of Health to provide care and transportation of patients upon the streets and highways of Arkansas;

(3)"Ground ambulance service provider" means an entity that provides ambulance transportation and emergency medical services to a patient;

(4)(A) "Health benefit plan" means a plan, policy, contract, certificate, agreement, or other evidence of coverage for healthcare services offered, issued, renewed, or extended in this state by a healthcare insurer.

(B)"Health benefit plan" includes nonfederal governmental plans as defined in 29 U.S.C. § 1002(32) ,

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As used in this subchapter: (1) "Enrollee" means an individual who is entitled to receive healthcare services under the terms of a health benefit plan; (2) "Ground ambulance services" means services authorized and licensed by the Department of Health to provide care and transportation of patients upon the streets and highways of Arkansas; (3) "Ground ambulance service provider" means an entity that provides ambulance transportation and emergency medical services to a patient; (4) (A) "Health benefit plan" means a plan, policy, contract, certificate, agreement, or other evidence of coverage for healthcare services offered, issued, renewed, or extended in this state by a healthcare insurer. (B) "Health benefit plan" includes nonfederal governmental plans as defined in 29 U.S.C. § 1002(32) , as it existed on January 1, 2023. (C) "Health benefit plan" does not include: (i) A disability income plan; (ii) A credit insurance plan; (iii) Insurance coverage issued as a supplement to liability insurance; (iv) A medical payment under automobile or homeowners insurance plans; (v) A health benefit plan provided under Arkansas Constitution, Article 5, § 32, the Workers' Compensation Law, § 11-9-101 et seq., or the Public Employee Workers' Compensation Act, § 21-5-601 et seq.; (vi) A plan that provides only indemnity for hospital confinement; (vii) An accident-only plan; (viii) A specified disease plan; (ix) A long-term-care-only plan; (x) A dental-only plan; (xi) A vision-only plan; (xii) Medicaid; or (xiii) A state or local governmental employee plan; and (5) (A) "Healthcare insurer" means an entity that is subject to state insurance regulation and provides coverage for health benefits in this state. (B) "Healthcare insurer" includes: (i) An insurance company; (ii) A health maintenance organization; (iii) A hospital and medical service corporation; (iv) A risk-based provider organization; and (v) A sponsor of a nonfederal self-funded governmental plan.

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