Kentucky Statutes 304.38A-010 – Definitions for subtitle
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As used in this subtitle, unless the context requires otherwise:
(1) “Enrollee” means an individual who is enrolled in a limited health services benefit plan;
(2) “Evidence of coverage” means any certificate, agreement, contract, or other document issued to an enrollee stating the limited health services to which the enrollee is entitled. All coverages described in an evidence of coverage issued by a limited health service organization are deemed to be “limited health services benefit plans” to the extent defined in KRS § 304.17C-010 unless exempted by the commissioner;
(3) “Limited health service” means dental care services, vision care services, mental health services, substance abuse services, chiropractic services, pharmaceutical services, podiatric care services, and such other services as may be determined by the commissioner to be limited health services. Limited health service shall not include hospital, medical, surgical, or emergency services except as these services are provided incidental to the limited health services set forth in this subsection;
(4) “Limited health service contract” means any contract entered into by a limited health service organization with a policyholder to provide limited health services;
(5) “Limited health service organization” means a corporation, partnership, limited liability company, or other entity that undertakes to provide or arrange limited health service or services to enrollees. A limited health service organization does not include a provider or an entity when providing or arranging for the provision of limited health services under a contract with a limited health service organization, health maintenance organization, or a health insurer; and
(6) “Provider” means the same as defined in KRS § 304.17A-005(23).
Effective: July 15, 2010
History: Amended 2010 Ky. Acts ch. 24, sec. 1515, effective July 15, 2010. — Amended 2006 Ky. Acts ch. 253, sec. 7, effective July 12, 2006. — Amended 2005
Ky. Acts ch. 144, sec. 13, effective June 20, 2005. — Created 2002 Ky. Acts ch. 105, sec. 10, effective July 15, 2002.
(1) “Enrollee” means an individual who is enrolled in a limited health services benefit plan;
Terms Used In Kentucky Statutes 304.38A-010
- Company: may extend and be applied to any corporation, company, person, partnership, joint stock company, or association. See Kentucky Statutes 446.010
- Contract: A legal written agreement that becomes binding when signed.
- Enrollee: means an individual who is enrolled in a limited health services benefit plan. See Kentucky Statutes 304.38A-010
- 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.
- Limited health service: means dental care services, vision care services, mental health services, substance abuse services, chiropractic services, pharmaceutical services, podiatric care services, and such other services as may be determined by the commissioner to be limited health services. See Kentucky Statutes 304.38A-010
- Limited health service organization: means a corporation, partnership, limited liability company, or other entity that undertakes to provide or arrange limited health service or services to enrollees. See Kentucky Statutes 304.38A-010
- Provider: means the same as defined in KRS §. See Kentucky Statutes 304.38A-010
(2) “Evidence of coverage” means any certificate, agreement, contract, or other document issued to an enrollee stating the limited health services to which the enrollee is entitled. All coverages described in an evidence of coverage issued by a limited health service organization are deemed to be “limited health services benefit plans” to the extent defined in KRS § 304.17C-010 unless exempted by the commissioner;
(3) “Limited health service” means dental care services, vision care services, mental health services, substance abuse services, chiropractic services, pharmaceutical services, podiatric care services, and such other services as may be determined by the commissioner to be limited health services. Limited health service shall not include hospital, medical, surgical, or emergency services except as these services are provided incidental to the limited health services set forth in this subsection;
(4) “Limited health service contract” means any contract entered into by a limited health service organization with a policyholder to provide limited health services;
(5) “Limited health service organization” means a corporation, partnership, limited liability company, or other entity that undertakes to provide or arrange limited health service or services to enrollees. A limited health service organization does not include a provider or an entity when providing or arranging for the provision of limited health services under a contract with a limited health service organization, health maintenance organization, or a health insurer; and
(6) “Provider” means the same as defined in KRS § 304.17A-005(23).
Effective: July 15, 2010
History: Amended 2010 Ky. Acts ch. 24, sec. 1515, effective July 15, 2010. — Amended 2006 Ky. Acts ch. 253, sec. 7, effective July 12, 2006. — Amended 2005
Ky. Acts ch. 144, sec. 13, effective June 20, 2005. — Created 2002 Ky. Acts ch. 105, sec. 10, effective July 15, 2002.