LD 1190
pg. 4
Page 3 of 18 An Act To Create the Comprehensive Health Insurance Risk Pool Association Page 5 of 18
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LR 436
Item 1

 
C.__Has been certified as eligible for federal trade
adjustment assistance or for pension benefit guarantee
corporation assistance, as provided by the federal Trade
Adjustment Assistance Reform Act of 2002.

 
4.__Dependent. "Dependent" means a resident spouse or
resident unmarried child under 19 years of age or a child who
is a student under 23 years of age and who is financially
dependent upon the parent or a child of any age who is
disabled and dependent upon the parent.

 
5.__Health maintenance organization.__"Health maintenance
organization" means any organization authorized under chapter
56 to operate a health maintenance organization in this State.

 
6.__Insurer.__"Insurer" means any entity that is authorized
to write medical insurance or that provides medical insurance
in this State. For the purposes of this chapter, "insurer"
includes an insurance company, nonprofit hospital and medical
service organization, fraternal benefit society, health
maintenance organization, self-insurance arrangement that
provides health care benefits in this State to the extent
allowed under the federal Employee Retirement Income Security
Act of 1974, 3rd-party administrator, multiple-employer
welfare arrangement, any other entity providing medical
insurance or health benefits subject to state insurance
regulation and any reinsurer reinsuring health insurance in
this State.

 
7.__Medical insurance.__"Medical insurance" means any
hospital and medical expense-incurred policy, nonprofit
hospital and medical service plan, health maintenance
organization subscriber contract or other health care plan or
arrangement that pays for or furnishes medical or health care
services whether by insurance or otherwise, whether sold as an
individual or group policy. "Medical insurance" does not
include accidental injury, specified disease, hospital
indemnity, dental, vision, disability income, long term care
or other limited benefit health insurance or credit insurance;
coverage issued as a supplement to liability insurance;
insurance arising out of__workers' compensation or similar
law; automobile medical payment insurance or insurance under
which benefits are payable with or without regard to fault and
that is statutorily required to be contained in any liability
insurance policy or equivalent self-insurance.

 
8.__Medicare.__"Medicare" means coverage under both Parts A
and B of Title XVIII of the Social Security Act, 42 United
States Code, Section 1395 et seq., as amended.

 
9.__Plan. "Plan" means the health insurance plan adopted by
the board pursuant to this chapter.


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