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) 'Healthcare service' means that service offered or provided by the healthcare 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 healthcare services except the following:(A) Workers' compensation coverage;(B) Self-funded or self-insured health plans, unless the plan is established or maintained o provide, reimburse, or pay for healthcare 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.Acts 1999, No. 1232, § 3. 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) 'Healthcare service' means that service offered or provided by the healthcare 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 healthcare services except the following:(A) Workers' compensation coverage;(B) Self-funded or self-insured health plans, unless the plan is established or maintained o provide, reimburse, or pay for healthcare 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.Acts 1999, No. 1232, § 3.
Arkansas Legal Code