Kentucky Statutes 304.17C-010 – Definitions for subtitle
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As used in this subtitle, unless the context requires otherwise:
(1) “At the time of enrollment” means the same as defined in KRS § 304.17A-005(2);
(2) “Enrollee” means an individual who is enrolled in a limited health service benefit plan;
(3) “Health care provider” or “provider” means the same as defined in KRS § 304.17A-
005(23);
(4) “Insurer” means any insurance company, health maintenance organization, self- insurer or multiple employer welfare arrangement not exempt from state regulation by ERISA, provider-sponsored integrated health delivery network, self-insured employer-organized association, nonprofit hospital, medical-surgical, dental, health service corporation, or limited health service organization authorized to transact health insurance business in Kentucky who offers a limited health service benefit plan; and
(5) “Limited health service benefit plan” means any policy or certificate that provides services for dental, vision, mental health, substance abuse, chiropractic, pharmaceutical, podiatric, or other such services as may be determined by the commissioner to be offered under a limited health service benefit plan. A limited health service benefit plan shall not include hospital, medical, surgical, or emergency services except as these services are provided incidental to the plan.
Effective: July 15, 2010
History: Amended 2010 Ky. Acts ch. 24, sec. 1289, effective July 15, 2010. — Amended 2006 Ky. Acts ch. 253, sec. 8, effective July 12, 2006. — Amended 2005
Ky. Acts ch. 144, sec. 11, effective June 20, 2005. — Created 2002 Ky. Acts ch. 105, sec. 2, effective July 15, 2002.
(1) “At the time of enrollment” means the same as defined in KRS § 304.17A-005(2);
Terms Used In Kentucky Statutes 304.17C-010
- Company: may extend and be applied to any corporation, company, person, partnership, joint stock company, or association. See Kentucky Statutes 446.010
- Insurer: means any insurance company, health maintenance organization, self- insurer or multiple employer welfare arrangement not exempt from state regulation by ERISA, provider-sponsored integrated health delivery network, self-insured employer-organized association, nonprofit hospital, medical-surgical, dental, health service corporation, or limited health service organization authorized to transact health insurance business in Kentucky who offers a limited health service benefit plan. See Kentucky Statutes 304.17C-010
- Limited health service benefit plan: means any policy or certificate that provides services for dental, vision, mental health, substance abuse, chiropractic, pharmaceutical, podiatric, or other such services as may be determined by the commissioner to be offered under a limited health service benefit plan. See Kentucky Statutes 304.17C-010
- State: when applied to a part of the United States, includes territories, outlying possessions, and the District of Columbia. See Kentucky Statutes 446.010
(2) “Enrollee” means an individual who is enrolled in a limited health service benefit plan;
(3) “Health care provider” or “provider” means the same as defined in KRS § 304.17A-
005(23);
(4) “Insurer” means any insurance company, health maintenance organization, self- insurer or multiple employer welfare arrangement not exempt from state regulation by ERISA, provider-sponsored integrated health delivery network, self-insured employer-organized association, nonprofit hospital, medical-surgical, dental, health service corporation, or limited health service organization authorized to transact health insurance business in Kentucky who offers a limited health service benefit plan; and
(5) “Limited health service benefit plan” means any policy or certificate that provides services for dental, vision, mental health, substance abuse, chiropractic, pharmaceutical, podiatric, or other such services as may be determined by the commissioner to be offered under a limited health service benefit plan. A limited health service benefit plan shall not include hospital, medical, surgical, or emergency services except as these services are provided incidental to the plan.
Effective: July 15, 2010
History: Amended 2010 Ky. Acts ch. 24, sec. 1289, effective July 15, 2010. — Amended 2006 Ky. Acts ch. 253, sec. 8, effective July 12, 2006. — Amended 2005
Ky. Acts ch. 144, sec. 11, effective June 20, 2005. — Created 2002 Ky. Acts ch. 105, sec. 2, effective July 15, 2002.