Section 58-17-114 - Definitions. - South Dakota Statutes

58-17-114. Definitions. Terms used in §§ 58-17-68, 58-17-70, 58-17-85, and 58-17-113 to 58-17-142, inclusive, mean:
(1) "Carrier," any person that provides health insurance in the state, including an insurance company, a prepaid hospital or medical service plan, a health maintenance organization, a multiple employer welfare arrangement, a carrier providing excess or stop loss coverage to a self-funded employer, and any other entity providing a plan of health insurance or health benefits subject to state insurance regulation. The term, carrier, includes any health benefit plan issued through an association or trust. The term, carrier, does not include excess or stop loss covering a risk of insurance as defined in §§ 58-9-5 to 58-9-33, inclusive, and does not include health insurance for coverages that are not health benefit plans issued by insurance companies, prepaid hospital or medical service plans, or health maintenance organizations;
(2) "Director," the director of the Division of Insurance;
(3) "Enrollee," any individual who is provided qualified comprehensive health coverage under the risk pool;
(4) "Health benefit plan," as defined in subdivision 58-17-66(9);
(5) "Health care facility," any health care facility licensed pursuant to chapter 34-12;
(6) "Health insurance," as defined in § 58-9-3;
(7) "Medicaid," the federal-state assistance program established under Title XIX of the Social Security Act;
(8) "Medicare," the federal government health insurance program established under Title XVIII of the Social Security Act;
(9) "Policy," any contract, policy, or plan of health insurance;
(10) "Policy year," any consecutive twelve-month period during which a policy provides or obligates the carrier to provide health insurance.

Source: SL 2003 (SS), ch 1, § 2.