For the purposes of this act:

(a) “Covered service” means a service which is reimbursable under the health benefit plan subject to any deductible, coinsurance, waiting period, frequency limitation, annual or lifetime benefit maximum or other contractual limitation contained in the health benefit plan.

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Terms Used In Kansas Statutes 40-2,186

  • 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.
  • Insurer: means any person, firm, association or corporation duly licensed in this state as an insurance company. See Kansas Statutes 40-2,130
  • Service corporation: means a nonprofit medical and hospital service corporation organized under the provisions of Kan. See Kansas Statutes 40-2,116
  • State: when applied to the different parts of the United States, includes the District of Columbia and the territories. See Kansas Statutes 77-201

(b) “Health benefit plan” shall have the meaning ascribed to it in Kan. Stat. Ann. § 40-4602, and amendments thereto. Health benefit plan shall also include:

(1) Any subscription agreement issued by a nonprofit dental service corporation.

(2) Any policy of health insurance purchased by an individual.

(3) To the extent permitted by law, the health insurance plan for Kansas children established pursuant to Kan. Stat. Ann. § 38-2001 et seq., and amendments thereto.

(4) To the extent permitted by law, the state medical assistance program under medicaid established pursuant to Kan. Stat. Ann. § 39-708c, and amendments thereto.

(c) “Health insurer” shall have the meaning ascribed to it in Kan. Stat. Ann. § 40-4602, and amendments thereto. Health insurer shall also include a nonprofit dental service corporation as such term is used in Kan. Stat. Ann. § 40-19a01 et seq., and amendments thereto.

(d) “Insured” shall have the meaning ascribed to it in Kan. Stat. Ann. § 40-4602, and amendments thereto. Insured shall also include a subscriber to a subscription agreement issued by a nonprofit dental service corporation as such term is used in Kan. Stat. Ann. § 40-19a01 et seq., and amendments thereto.

(e) “Participating provider” shall have the meaning ascribed to it in Kan. Stat. Ann. § 40-4602, and amendments thereto. Participating provider shall also include any dentist who has entered into a participation agreement with a nonprofit dental service corporation.

(f) “Provider” shall have the meaning ascribed to it in Kan. Stat. Ann. § 40-4602, and amendments thereto. Provider shall also include any dentist licensed by the Kansas dental board.