Montana § 33-2-2002 Definitions

Montana Statutes

§ 33-2-2002 — Definitions

Montana § 33-2-2002

Title 33INSURANCE AND INSURANCE COMPANIES

Ch. 2REGULATION OF INSURANCE COMPANIES

Part 20Pharmacy Audit Integrity Act

This text of Montana § 33-2-2002 (Definitions) is published on Counsel Stack Legal Research, covering Montana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Mont. Code Ann. § 33-2-2002 (2026).

Text

33-2-2002 . Definitions. As used in this part, the following definitions apply:

(1)"Audit" means a review of the records of a pharmacy by or on behalf of an entity that finances or reimburses the cost of health care services or pharmaceutical products.

(2)"Entity" includes:

(a)a pharmacy benefits manager;

(b)a health benefit plan;

(c)a third-party administrator; and

(d)a company, group, or agent that represents or is engaged by one of the entities described in this subsection (2).

(3)"Fraud" means an intentional act of deception, misrepresentation, or concealment in order to gain something of value.

(4)"Health benefit plan" means a policy or certificate that provides health care insurance or major medical expense insurance or that is offered as a substitute for hospital or medical

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33-2-2002 . Definitions. As used in this part, the following definitions apply:
(1) "Audit" means a review of the records of a pharmacy by or on behalf of an entity that finances or reimburses the cost of health care services or pharmaceutical products.
(2) "Entity" includes:
(a) a pharmacy benefits manager;
(b) a health benefit plan;
(c) a third-party administrator; and
(d) a company, group, or agent that represents or is engaged by one of the entities described in this subsection (2).
(3) "Fraud" means an intentional act of deception, misrepresentation, or concealment in order to gain something of value.
(4) "Health benefit plan" means a policy or certificate that provides health care insurance or major medical expense insurance or that is offered as a substitute for hospital or medical expense insurance. The term does not include a policy or certificate that provides benefits solely for accident, dental, vision, income replacement, long-term care, a medicare supplement, a specified disease, or a short-term limited duration or that is offered and marketed as supplemental health insurance.