Utah Code 31A-45-102. Definitions
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As used in this chapter:
(1) “Covered benefit” or “benefit” means the health care services to which a covered person is entitled under the terms of a health care insurance plan offered by a managed care organization.
Terms Used In Utah Code 31A-45-102
- Administrator: means the same as that term is defined in Subsection (187). See Utah Code 31A-1-301
- Health care: means any of the following intended for use in the diagnosis, treatment, mitigation, or prevention of a human ailment or impairment:(83)(a) a professional service;(83)(b) a personal service;(83)(c) a facility;(83)(d) equipment;(83)(e) a device;(83)(f) supplies; or(83)(g) medicine. See Utah Code 31A-1-301
- Insurance: includes :
(96)(b)(i) a risk distributing arrangement providing for compensation or replacement for damages or loss through the provision of a service or a benefit in kind;(96)(b)(ii) a contract of guaranty or suretyship entered into by the guarantor or surety as a business and not as merely incidental to a business transaction; and(96)(b)(iii) a plan in which the risk does not rest upon the person who makes an arrangement, but with a class of persons who have agreed to share the risk. See Utah Code 31A-1-301- Managed care organization: means :
(2)(a) a managed care organization as that term is defined in Section 31A-1-301; and(2)(b) a third party administrator as that term is defined in Section 31A-1-301. See Utah Code 31A-45-102- Person: includes :
(146)(a) an individual;(146)(b) a partnership;(146)(c) a corporation;(146)(d) an incorporated or unincorporated association;(146)(e) a joint stock company;(146)(f) a trust;(146)(g) a limited liability company;(146)(h) a reciprocal;(146)(i) a syndicate; or(146)(j) another similar entity or combination of entities acting in concert. See Utah Code 31A-1-301 - Insurance: includes :