§ 23-99-603 - Definitions. - Arkansas Statutes

23-99-603. Definitions.

As used in this subchapter:

(1) "Commissioner" means the Insurance Commissioner;

(2) "Covered person" means a person covered by a health plan including an enrollee, subscriber, policyholder, beneficiary of a group plan, or individual covered by any other health plan;

(3) "Dentist" means a person licensed under the Arkansas Dental Practice Act, 17-82-101 et seq.;

(4) "Health care service" means that service offered or provided by the health care providers within the scope of their practice and relating to the prevention, cure, or treatment of illness or disease;

(5) "Health carrier" means any insurance company, health maintenance organization, or hospital and medical service corporation as defined in 23-75-101, subject to the following laws:

(A) The Arkansas Insurance Code;

(B) Provisions pertaining to health maintenance organizations, 23-76-101 et seq.; and

(C) Any successor laws of the foregoing; and

(6) "Health plan" means any policy, contract, or agreement offered by a health carrier to provide, reimburse, or pay for health care services except the following:

(A) Workers' compensation coverage;

(B) Self-funded or self-insured health plans, unless the plan is established or maintained for employees of a governmental entity; and

(C) A policy, contract, or agreement that limits coverage for dental services in connection with the treatment of a covered accidental injury or the treatment of a nondental physiological condition.