Iowa Code 514I.2 – Definitions
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Terms Used In Iowa Code 514I.2
- Child: includes child by adoption. See Iowa Code 4.1
- Contract: A legal written agreement that becomes binding when signed.
- following: when used by way of reference to a chapter or other part of a statute mean the next preceding or next following chapter or other part. See Iowa Code 4.1
- 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 said district and territories. See Iowa Code 4.1
514I.2 Definitions.
As used in this chapter, unless the context otherwise requires:
1. “”Benchmark benefit package”” means any of the following:
a. The standard blue cross/blue shield preferred provider option service benefit plan, described in and offered under 5 U.S.C. § 8903(1).
b. A health benefits coverage plan that is offered and generally available to state employees in this state.
c. The plan of a health maintenance organization as defined in 42 U.S.C. § 300e, with the largest insured commercial, nonmedical assistance enrollment of covered lives in the state.
2. “”Cost sharing”” means the payment of a premium or copayment as provided for by Tit. XXI of the federal Social Security Act and § 514I.10.
3. “”Department”” means the department of health and human services.
4. “”Director”” means the director of health and human services.
5. “”Eligible child”” means an individual who meets the criteria for participation in the program under § 514I.8.
6. “”Hawki board”” or “”board”” means the entity which adopts rules and establishes policy for, and directs the department regarding, the Hawki program.
7. “”Hawki program”” or “”program”” means the healthy and well kids in Iowa program created in this chapter to provide health insurance coverage to eligible children.
8. “”Health insurance coverage”” means health insurance coverage as defined in 42 U.S.C.
§300gg-91.
9. “”Participating insurer”” means any of the following:
a. An entity licensed by the division of insurance of the department of insurance and financial services to provide health insurance in Iowa that has contracted with the department to provide health insurance coverage to eligible children under this chapter.
b. A managed care organization acting pursuant to a contract with the department to administer the Hawki program.
10. “”Qualified child health plan”” or “”plan”” means health insurance coverage provided by a participating insurer under this chapter.
98 Acts, ch 1196, §3, 16; 2003 Acts, ch 108, §131; 2008 Acts, ch 1188, §7; 2009 Acts, ch 118,
§24; 2014 Acts, ch 1092, §184; 2017 Acts, ch 148, §92; 2019 Acts, ch 124, §1; 2022 Acts, ch
1131, §65; 2023 Acts, ch 19, §1211, 2734
See Code editor’s note on simple harmonization at the beginning of this Code volume
Section amended
As used in this chapter, unless the context otherwise requires:
1. “”Benchmark benefit package”” means any of the following:
a. The standard blue cross/blue shield preferred provider option service benefit plan, described in and offered under 5 U.S.C. § 8903(1).
b. A health benefits coverage plan that is offered and generally available to state employees in this state.
c. The plan of a health maintenance organization as defined in 42 U.S.C. § 300e, with the largest insured commercial, nonmedical assistance enrollment of covered lives in the state.
2. “”Cost sharing”” means the payment of a premium or copayment as provided for by Tit. XXI of the federal Social Security Act and § 514I.10.
3. “”Department”” means the department of health and human services.
4. “”Director”” means the director of health and human services.
5. “”Eligible child”” means an individual who meets the criteria for participation in the program under § 514I.8.
6. “”Hawki board”” or “”board”” means the entity which adopts rules and establishes policy for, and directs the department regarding, the Hawki program.
7. “”Hawki program”” or “”program”” means the healthy and well kids in Iowa program created in this chapter to provide health insurance coverage to eligible children.
8. “”Health insurance coverage”” means health insurance coverage as defined in 42 U.S.C.
§300gg-91.
9. “”Participating insurer”” means any of the following:
a. An entity licensed by the division of insurance of the department of insurance and financial services to provide health insurance in Iowa that has contracted with the department to provide health insurance coverage to eligible children under this chapter.
b. A managed care organization acting pursuant to a contract with the department to administer the Hawki program.
10. “”Qualified child health plan”” or “”plan”” means health insurance coverage provided by a participating insurer under this chapter.
98 Acts, ch 1196, §3, 16; 2003 Acts, ch 108, §131; 2008 Acts, ch 1188, §7; 2009 Acts, ch 118,
§24; 2014 Acts, ch 1092, §184; 2017 Acts, ch 148, §92; 2019 Acts, ch 124, §1; 2022 Acts, ch
1131, §65; 2023 Acts, ch 19, §1211, 2734
See Code editor’s note on simple harmonization at the beginning of this Code volume
Section amended