Vermont Statutes Title 8 Sec. 4121
Terms Used In Vermont Statutes Title 8 Sec. 4121
- Contract: A legal written agreement that becomes binding when signed.
- 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.
- Covered individual: means an individual covered under a dental insurance plan or a health insurance plan. See
- Dental insurance plan: means a stand-alone dental plan or policy that provides coverage for dental services separately from a health insurance plan. See
- Health insurance plan: means any individual or group health insurance policy, any hospital or medical service corporation or health maintenance organization subscriber contract, or any other health benefit plan offered, issued, or renewed for any person in this State by a health insurer. See
- Person: shall include any natural person, corporation, municipality, the State of Vermont or any department, agency, or subdivision of the State, and any partnership, unincorporated association, or other legal entity. See
- State: when applied to the different parts of the United States may apply to the District of Columbia and any territory and the Commonwealth of Puerto Rico. See
§§ 4121-4126. Repealed. 1995, No. 180 (Adj. Sess.), § 37.
§ 4121. Definitions
As used in this chapter:
(1) “Covered individual” means an individual covered under a dental insurance plan or a health insurance plan.
(2) “Covered service” means a dental service for which reimbursement is available under a covered individual‘s dental insurance plan or health insurance plan or for which reimbursement would be available but for the application of contractual limitations such as deductibles, co-payments, coinsurance, waiting periods, annual or lifetime maximums, frequency limitations, alternative benefit payments, or other limitations.
(3) “Dental insurance plan” means a stand-alone dental plan or policy that provides coverage for dental services separately from a health insurance plan.
(4) “Dental insurer” means any health or dental insurance company, including a nonprofit dental service corporation, that offers a dental insurance plan for sale.
(5) “Dentist” means an individual licensed to practice dentistry under 26 Vt. Stat. Ann. chapter 12.
(6) “Health insurance plan” means any individual or group health insurance policy, any hospital or medical service corporation or health maintenance organization subscriber contract, or any other health benefit plan offered, issued, or renewed for any person in this State by a health insurer. The term does not include benefit plans providing coverage for a specific disease or other limited benefit coverage.
(7) “Health insurer” has the same meaning as in 18 V.S.A. § 9402. (Added 2021, No. 25, § 31, eff. Jan. 1, 2022.)