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;
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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 a health plan;
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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.
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Examples of Health insurance entity in a sentence

  • Health insurance entity policies affecting the information available to a provider pursuant to subsection (b) shall be easily accessible by a health care provider on the web site established by the health insurance entity pursuant to subsection (a).

  • Health insurance entity policies affecting the information available to a provider pursuant to subsection (b) shall be easily accessible by a health care provider on the Web site established by the health insurance entity pursuant to subsection (a).

  • 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.

  • Formed in 1989 with the merger of Akron City and St. Thomas Hospitals, this nonprofit system now encompasses a network of: • Hospitals • Community-based health centers • Health insurance entity • A multi-specialty group practice • An entrepreneurial entity • Research and medical education • A Foundation Summa Health has organized all of its medical services under the umbrella of Summa Health System.

  • 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.


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
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Health insurance entity means a managed care organization contracting with the state to provide insurance through:
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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.
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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.
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Related to Health insurance entity

  • Health insurance means protection which provides payment of benefits for covered sickness or injury.

  • Health insurance issuer means an insurance company, or insurance organization (including a health

  • Health insurance plan means any health insurance policy or health benefit plan offered by a health insurer or a subcontractor of a health insurer, as well as Medicaid and any other public health care assistance program offered or administered by the State or by any subdivision or instrumentality of the State. The term includes vision care plans but does not include policies or plans providing coverage for a specified disease or other limited benefit coverage.

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

  • Health insurer means the same as that term is defined in Section 31A-22-615.5.

  • 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 hazard means any condition, device or practice in a water system or its operation resulting from a real or potential danger to the health and well-being of consumers. The word "severe" as used to qualify "health hazard" means a hazard to the health of the user that could be expected to result in death or significant reduction in the quality of life.

  • Flood Insurance Regulations means (a) the National Flood Insurance Act of 1968 as now or hereafter in effect or any successor statute thereto, (b) the Flood Disaster Protection Act of 1973 as now or hereafter in effect or any successor statute thereto, (c) the National Flood Insurance Reform Act of 1994 (amending 42 USC § 4001, et seq.), as the same may be amended or recodified from time to time, and (d) the Flood Insurance Reform Act of 2004 and any regulations promulgated thereunder.

  • 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.

  • Health-care-insurance receivable means an interest in or claim under a policy of insurance which is a right to payment of a monetary obligation for health-care goods or services provided.

  • Health Benefits means health maintenance organization, insured or self-funded medical, dental, vision, prescription drug and behavioral health benefits.

  • Health means physical or mental health; and