Health insurance entity definition

Health insurance entity means an entity subject to the insurance laws of this state, or subject to the jurisdiction of the commissioner of commerce and insurance, that contracts or offers to contract to provide health insurance coverage, including, but not limited to, an insurance company, a health maintenance organization, and a nonprofit hospital and medical service corporation;
Sample 1Sample 2Sample 3
Health insurance entity means a managed care organization contracting with the state to provide insurance through:
Sample 1Sample 2Sample 3
Health insurance entity means an entity subject to the insurance laws of this state, or subject to the jurisdiction of the commissioner, that contracts or offers to contract to provide health insurance coverage, including, but not
Sample 1

Examples of Health insurance entity in a sentence

  • Health insurance entity" means a health insurance company, a health maintenance organization, or a nonprofit hospital or medical services organization with greater than $ 500,000 of premiums written per year in Maine that is licensed by the Maine Bureau of Insurance under Title 24-A M.R.S.A. All preferred payor organizations licensed by the Maine Bureau of Insurance under Title 24-A M.R.S.A. are excluded.

  • Health insurance entity" means a health insurance company, a health maintenance organization, or a nonprofit hospital or medical services organization with greater than $ 500,000 of premiums written per year in Maine that is licensed by the Maine Bureau of Insurance under 24-A M.R.S. All preferred payor organizations licensed by the Maine Bureau of Insurance under 24-A M.R.S. are excluded.


More Definitions of Health insurance entity

Health insurance entity means an entity subject to the insurance laws of this state, or subject to the jurisdiction of the
Sample 1Sample 2
Health insurance entity means an entity subject to the insurance laws of this state, or subject to the jurisdiction of the commissioner, that contracts or offers to contract to provide health insurance coverage, including, but not limited to, an insurance company, health maintenance organization and a non-profit hospital and medical service corporation. However, for purposes of this section, no contracting agent shall be considered a health insurance entity.
Sample 1Sample 2
Health insurance entity means a health insurer, health maintenance organization or any other entity that delivers, administers or assumes risk for healthcare services with systems or techniques to control or influence the quality, accessibility, utilization or cost and prices or such service to a defined enrollee population.
Sample 1
Health insurance entity means an entity subject to the insurance laws of this state, or subject to the jurisdiction of the Commissioner of Commerce and Insurance, that contracts or offers to contract to pro- vide health insurance coverage, including, but not limited to, an insurance company, a health maintenance organization and a nonprofit hospital and medical service corporation. “Health insurance entity” does not include any entity that provides health insurance coverage pursuant to the TennCare Program under Title XIX of the Social Security Act, or any successor to the TennCare Program administered pursuant to the federal Medicaid laws.
Sample 1

Related to Health insurance entity

  • Health insurance exchange means an exchange as defined in 45 C.F.R. Sec. 155.20.

  • Health insurance coverage means benefits consisting of medical care (provided directly, through

  • Health Insurance Portability and Accountability Act means the Health Insurance Portability and Accountability Act of 1996, Pub. L. No. 104-191, 110 Stat. 1936, as amended.

  • Accident and health insurance means contracts that incorporate morbidity risk and provide protection against economic loss resulting from accident, sickness, or medical conditions and as may be specified in the valuation manual.

  • Credit accident and health insurance means insurance on a debtor to provide

  • Health plan or "health benefit plan" means any policy,

  • Health care coverage means any plan providing hospital, medical or surgical care coverage for

  • HIPAA means the Health Insurance Portability and Accountability Act of 1996, as amended.

  • National Flood Insurance Program means the program created by the U.S. Congress pursuant to the National Flood Insurance Act of 1968 and the Flood Disaster Protection Act of 1973, as revised by the National Flood Insurance Reform Act of 1994, that mandates the purchase of flood insurance to cover real property improvements located in Special Flood Hazard Areas in participating communities and provides protection to property owners through a Federal insurance program.