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| 5.__Health maintenance organization.__"Health maintenance | organization" means an organization authorized under chapter 56 to | operate a health maintenance organization in this State. |
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| | 6.__Insurer.__"Insurer" means an 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, a nonprofit hospital and medical service | organization, a fraternal benefit society, a health maintenance | organization, a 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, a 3rd- | party administrator, a multiple-employer welfare arrangement, | another entity providing medical insurance or health benefits | subject to state insurance regulation and a reinsurer that | reinsures health insurance in this State. |
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| | 7.__Medical insurance.__"Medical insurance" means a 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, | Medicare supplement, 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. |
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| | 8.__Medicare.__"Medicare" means coverage under both Parts A | and B of Title XVIII of the federal Social Security Act, 42 | United States Code, Section 1395 et seq., as amended. |
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| | 9.__Plan.__"Plan" means the health insurance plan adopted by | the board pursuant to this chapter. |
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| | 10.__Producer.__"Producer" means a person who is licensed to | sell health insurance in this State. |
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| | 11.__Resident.__"Resident" means an individual who: |
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| A.__Is legally located in the United States and has been | legally domiciled in this State for a period to be | established by the board, not to exceed one year, subject to | the approval of the superintendent; |
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