Terms Used In Rhode Island General Laws > Chapter 42-7.4 - The Healthcare Services Funding Plan Act

• Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
• Contribution enrollee: means an individual residing in this state, with respect to whom an insurer administers, provides, pays for, insures, or covers healthcare services, unless excepted by this section. See Rhode Island General Laws 42-7.4-2
• 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.
• 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.
• Healthcare services funding contribution: means per capita amount each contributing insurer must contribute to support the programs funded by the method established under this section, with respect to each contribution enrollee; provided, however, that, with respect to an insurer that is a Medicaid managed care organization offering managed Medicaid, the healthcare funding services contribution for any contribution enrollee whose healthcare services are paid or reimbursed under Title XIX of the Social Security Act (Medicaid) shall not include the children's health services funding requirement described in §?42-12-29. See Rhode Island General Laws 42-7.4-2
• Insurer: means all persons offering, administering, and/or insuring healthcare services, including, but not limited to:

  (A)  Policies of accident and sickness insurance, as defined by chapter 18 of Title 27:

  (B)  Nonprofit hospital or medical-service plans, as defined by chapters 19 and 20 of title 27;

  (C)  Any person whose primary function is to provide diagnostic, therapeutic, or preventive services to a defined population on the basis of a periodic premium;

  (D)  All domestic, foreign, or alien insurance companies, mutual associations, and organizations;

  (E)  Health maintenance organizations, as defined by chapter 41 of Title 27;

  (F)  All persons providing health benefits coverage on a self-insurance basis;

  (G)  All third-party administrators described in Rhode Island General Laws 42-7.4-2

• Litigation: A case, controversy, or lawsuit. Participants (plaintiffs and defendants) in lawsuits are called litigants.
• Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
• Person: means any individual, corporation, company, association, partnership, limited liability company, firm, state governmental corporations, districts, and agencies, joint stock associations, trusts, and the legal successor thereof. See Rhode Island General Laws 42-7.4-2
• Remainder: An interest in property that takes effect in the future at a specified time or after the occurrence of some event, such as the death of a life tenant.
• Secretary: means the secretary of health and human services. See Rhode Island General Laws 42-7.4-2