304.17C-010 Definitions for subtitle.
As used in this subtitle, unless the context requires otherwise:
(1) "At the time of enrollment" means the same as defined in KRS 304.17A-005(2);
(2) "Enrollee" means an individual who is enrolled in a limited health service benefit
plan;
(3) "Health care provider" or "provider" means the same as defined in KRS 304.17A005(23);
(4) "Insurer" means any insurance company, health maintenance organization, selfinsurer or multiple employer welfare arrangement not exempt from state regulation
by ERISA, provider-sponsored integrated health delivery network, self-insured
employer-organized association, nonprofit hospital, medical-surgical, dental, health
service corporation, or limited health service organization authorized to transact
health insurance business in Kentucky who offers a limited health service benefit
plan; and
(5) "Limited health service benefit plan" means any policy or certificate that provides
services for dental, vision, mental health, substance abuse, chiropractic,
pharmaceutical, podiatric, or other such services as may be determined by the
commissioner to be offered under a limited health service benefit plan. A limited
health service benefit plan shall not include hospital, medical, surgical, or
emergency services except as these services are provided incidental to the plan.
Effective: July 15, 2010
History: Amended 2010 Ky. Acts ch. 24, sec. 1289, effective July 15, 2010. -Amended 2006 Ky. Acts ch. 253, sec. 8, effective July 12, 2006. -- Amended 2005
Ky. Acts ch. 144, sec. 11, effective June 20, 2005. -- Created 2002 Ky. Acts ch. 105,
sec. 2, effective July 15, 2002.
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