41-5501 Definitions
41-5502 Creation of the Individual High Risk Reinsurance Pool — Board
41-5503 Plan of Operation
41-5504 Powers and Authority
41-5505 Reinsurance
41-5506 Reinsurance Premium Rates
41-5507 Premium Rates for High Risk Pool Plan Coverage
41-5508 Assessments
41-5509 Ceding Eligibility

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Terms Used In Idaho Code > Title 41 > Chapter 55 - Idaho Individual High Risk Reinsurance Pool

  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • Board: means the board of directors of the Idaho individual high risk reinsurance pool established in this chapter and the Idaho small employer health reinsurance program established in section 41-4711, Idaho Code. See Idaho Code 41-5501
  • Carrier: means any entity that provides, or is authorized to provide, health insurance in this state. See Idaho Code 41-5501
  • Contract: A legal written agreement that becomes binding when signed.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Dependent: A person dependent for support upon another.
  • Dependent: means a spouse, a child or any other individual listed as having coverage under the primary policy holder’s or subscriber’s health benefit plan. See Idaho Code 41-5501
  • Director: means the director of the department of insurance of the state of Idaho. See Idaho Code 41-5501
  • Eligible individual: means an Idaho resident individual or dependent of an Idaho resident who is:
Idaho Code 41-5501
  • Equitable: Pertaining to civil suits in "equity" rather than in "law." In English legal history, the courts of "law" could order the payment of damages and could afford no other remedy. See damages. A separate court of "equity" could order someone to do something or to cease to do something. See, e.g., injunction. In American jurisprudence, the federal courts have both legal and equitable power, but the distinction is still an important one. For example, a trial by jury is normally available in "law" cases but not in "equity" cases. Source: U.S. Courts
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Ex officio: Literally, by virtue of one's office.
  • Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
  • Health benefit plan: means any hospital or medical policy or certificate, any subscriber contract provided by a hospital or professional service corporation, or health maintenance organization subscriber contract. See Idaho Code 41-5501
  • High risk medical condition: means a medical condition or diagnosis identified by the board in its plan of operation as making an individual eligible for reinsurance through the pool. See Idaho Code 41-5501
  • High risk pool plan: means an individual basic, standard, catastrophic A, catastrophic B, or HSA compatible health benefit plan issued pursuant to this chapter prior to April 1, 2017. See Idaho Code 41-5501
  • Indemnification: In general, a collateral contract or assurance under which one person agrees to secure another person against either anticipated financial losses or potential adverse legal consequences. Source: FDIC
  • Month: means a calendar month, unless otherwise expressed. See Idaho Code 73-114
  • person: includes a corporation as well as a natural person;
  • Idaho Code 73-114
  • Plan of operation: means the plan of operation of the individual high risk reinsurance pool established pursuant to this chapter. See Idaho Code 41-5501
  • Pool: means the Idaho [individual] high risk reinsurance pool. See Idaho Code 41-5501
  • President pro tempore: A constitutionally recognized officer of the Senate who presides over the chamber in the absence of the Vice President. The President Pro Tempore (or, "president for a time") is elected by the Senate and is, by custom, the Senator of the majority party with the longest record of continuous service.
  • Reinsurance premium: means the premium set by the board pursuant to section 41-5506, Idaho Code, to be paid by a reinsuring carrier for eligible individuals ceded to the pool. See Idaho Code 41-5501
  • Reinsuring carrier: means a carrier participating in the individual high risk reinsurance pool established by this chapter. See Idaho Code 41-5501
  • State: when applied to the different parts of the United States, includes the District of Columbia and the territories; and the words "United States" may include the District of Columbia and territories. See Idaho Code 73-114