2010 Arkansas Code
Title 23 - Public Utilities and Regulated Industries
Subtitle 3 - Insurance
Chapter 76 - Health Maintenance Organizations
§ 23-76-102 - Definitions.

23-76-102. Definitions.

As used in this chapter:

(1) "Commissioner" means the Insurance Commissioner;

(2) "Domestic corporation" means any corporation organized pursuant to the Arkansas Business Corporation Act, 4-26-101 et seq., and the Arkansas Nonprofit Corporation Act, 4-28-201 et seq.;

(3) "Enrollee" means an individual who has been enrolled in a health care plan;

(4) "Evidence of coverage" means any certificate, agreement, contract, identification card, or document issued to an enrollee setting out the coverage to which the enrollee is entitled;

(5) "Health care plan" means any arrangement whereby any person undertakes to provide, arrange for, pay for, or reimburse any part of the cost of any health care services through an individually underwritten or group master contract, and at least part of the arrangement consists of arranging for, or the provision of, health care services as distinguished from mere indemnification against the cost of the services on a prepaid basis through insurance or otherwise;

(6) "Health care services" means any services included in the furnishing to any individual of medical or dental care, or hospitalization, or services incident to the furnishing of care or hospitalization, as well as the furnishing to any person of all other services or goods for the purpose of preventing, alleviating, curing, or healing human illness or injury;

(7) "Health maintenance organization" means any person which undertakes to provide or arrange for one (1) or more health care plans;

(8) "Health professional" means physicians, dentists, optometrists, nurses, podiatrists, pharmacists, and other individuals engaged in the delivery of health services as are or may be designated under the Health Maintenance Organization Act of 1973 or any amendment thereto or regulation adopted thereunder;

(9) "Person" means any natural or artificial person, including, but not limited to, individuals, partnerships, associations, trusts, or corporations; and

(10) "Provider" means any person who is licensed in this state to furnish health care services as a health professional.