§ 9-3-203 — Definitions

(a) As used in this act:
(i) Repealed By Laws 2001, Ch. 55, § 3.
(ii) "Carrier" means a private insurance company or
health maintenance organization, as defined in W.S.
26-34-102(a)(xvi), holding a valid outstanding certificate of
authority from the state insurance commissioner, or a nonprofit
hospital service plan or a nonprofit medical service plan
incorporated as a nonprofit corporation, either of which has had
successful experience in the group health insurance field as
determined by the commissioner of insurance;
(iii) "Dependent" means an employee's spouse and each
unmarried child under the age of twenty-six (26) years,
including adopted children, stepchildren and foster children.
"Dependent" includes an otherwise qualified dependent of a
deceased employee as provided in W.S. 9-3-209(d);
(iv) "Employee" means any employee of a participating
school district or participating board of cooperative
educational services whose salary is paid by funds of the
district or board, a volunteer firefighter, volunteer emergency
medical technician or a volunteer search and rescue person as
provided by W.S. 9-3-220 or any official or employee of the
state of Wyoming whose salary is paid by state funds, including
employees and faculty members of the University of Wyoming and
various community colleges in the state, except persons employed
on intermittent, irregular, or less than halftime basis and any
at-will contract employee who does not meet the requirements
established under W.S. 9-2-3207(a)(xi)(F)(III) or (IV).
"Employee" shall not include employees of the agricultural
extension service of the University of Wyoming who hold federal
civil service appointments, are required to participate in
federal civil service retirement and who elect to participate in
the federal employees' health benefit program as authorized in
W.S. 9-3-210(d);
(v) "Group insurance plan" means the health and life
insurance plans defined in this section, the flexible benefits
plan or any other group insurance coverages contracted for by
the department, including disability insurance, as defined in
W.S. 26-5-103(a);
(vi) "Health insurance plan" means a group insurance
policy or contract or a medical or hospital service agreement or
other health care delivery system provided by a carrier or
carriers for the purpose of paying for or reimbursing the cost
of hospital and medical care;
(vii) "Hospital and medical benefits" means hospital
room and board, other hospital services, certain outpatient
benefits, maternity benefits, surgical benefits, including
obstetrical care, in-hospital medical care, diagnostic X-ray and
laboratory benefits, physician's services provided by house and
office calls, prescription drugs, outpatient psychiatric
services and other benefits determined by the department.
Benefits may be provided on a coinsurance basis, the insured to
pay a proportion of the cost of benefits;
(viii) "Life insurance plan" means a group insurance
policy or contract provided by a carrier for the purpose of
providing life insurance;
(ix) "Official" means any elected or appointed state
official who receives compensation other than expense
reimbursement from state funds, except for members of the
legislature and officials serving on an intermittent, irregular
or less than halftime basis;
(x) "Supplemental health insurance plan" or
"supplemental plan" means a group insurance contract or a
medical or hospital service agreement provided by a carrier for
the purpose of paying for or reimbursing the cost of hospital
and medical care in excess of or supplemental to medicare or
medicaid, or both, which employees or officials and their
dependents may be eligible to receive. Supplemental coverage
may consist of one (1), a combination of, or alternative plans
in the discretion of the department;
(xi) "Department" means the department of
administration and information;
(xii) "Flexible benefits plan" means a plan of
benefits established by department rules and regulations and
adopted pursuant to the Internal Revenue Code of 1986, Title 26
of the United States code and qualified under § 125 of the
Internal Revenue Code of 1986. The plan may include benefits
authorized by the Internal Revenue Code of 1986 and related
federal regulations which are consistent with Wyoming law;
(xiii) "Retiree" means an individual who has
terminated his working career as an employee of an employing
entity participating in the group insurance plan and who is
eligible to receive a retirement benefit under the Wyoming
retirement system;
(xiv) "Participating board of cooperative educational
services" means any board of educational services formed
pursuant to W.S. 21-20-104 which has elected to participate in
the state employees' and officials' group insurance plan under
W.S. 9-3-201(e) and which has not discontinued plan
participation pursuant to an election under W.S. 9-3-201(f);
(xv) "Participating school district" means any school
district which has elected to participate in the state
employees' and officials' group insurance plan under W.S.
9-3-201(e) and which has not discontinued plan participation
pursuant to an election under W.S. 9-3-201(f);
(xvi) "Voluntary participating employer" includes a
participating board of cooperative educational services and
participating school district;
(xvii) "This act" means W.S. 9-3-202 through 9-3-220.