§ 23-79-1302 - Definitions. - Arkansas Statutes

23-79-1302. Definitions.

As used in this subchapter:

(1) (A) "Health benefit plan" means an individual, blanket, or group plan, policy, or contract for health care services issued or delivered by an insurer, health maintenance organization, hospital medical service corporation, or self-insured governmental or church plan in this state.

(B) "Health benefit plan" includes: (i) Indemnity and managed care plans; and

(ii) Governmental plans as defined in 29 U.S.C. 1002(32), as it existed on January 1, 2009.

(C) "Health benefit plan" does not include:

(i) Accidental injury insurance plans;

(ii) Dental insurance plans;

(iii) Vision insurance plans;

(iv) Specified disease insurance plans;

(v) Disability income plans;

(vi) Credit insurance plans;

(vii) Insurance coverage issued as a supplement to liability insurance;

(viii) Medical payments under automobile or homeowners' insurance plans;

(ix) Health benefit plans provided under Arkansas Constitution, Article 5, 32, the Workers' Compensation Law, 11-9-101 et seq., and the Public Employee Workers' Compensation Act, 21-5-601 et seq.;

(x) Insurance under which benefits are payable with or without regard to fault and the benefits that are statutorily required to be contained in any liability policy or equivalent self-insurance; and

(xi) Plans that provide only indemnity for hospital confinement;

(2) "National Comprehensive Cancer Network" means:

(A) A not-for-profit alliance of twenty-one (21) of the world's leading cancer centers dedicated to improving the quality and effectiveness of care provided to patients with cancer; and

(B) With the primary goal of improving the quality, effectiveness, and efficiency of oncology practice so that patients may live better lives; and

(3) "Premature death" means a death that occurs before sixty-five (65) years of age.