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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
304.17A-005(23);
(4) "Insurer" means any insurance company, health maintenance organization,
self-insurer 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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