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§ 3041. Definitions

Purdon's Pennsylvania Statutes and Consolidated StatutesTitle 40 P.S. Insurance

Purdon's Pennsylvania Statutes and Consolidated Statutes
Title 40 P.S. Insurance (Refs & Annos)
Chapter 10C. Insurance Reimbursement for Hospital Emergency Facility Services
40 P.S. § 3041
§ 3041. Definitions
Currentness
The following words and phrases when used in this act shall have the meanings given to them in this section unless the context clearly indicates otherwise:
“Insurer.” The term means:
(1) Any insurance company, association or reciprocal, nonprofit hospital plan corporation.
(2) A nonprofit professional health service plan.
(3) A health maintenance organization organized and regulated under the act of December 29, 1972 (P.L. 1701, No. 364),1 known as the Health Maintenance Organization Act.
(4) A risk-assuming preferred provider organization organized and regulated under the act of May 17, 1921 (P.L. 682, No. 284),2 known as The Insurance Company Law of 1921.
(5) A preferred provider with a health management gatekeeper role for primary care physicians organized and regulated as a health services corporation or a preferred provider organization subject to the provisions of section 630 of The Insurance Company Law of 1921.
(6) A fraternal benefit society subject to the provisions of the act of December 14, 1992 (P.L. 835, No. 134),3 known as the Fraternal Benefit Societies Code.
“Medical emergency.” A medical condition with acute symptoms of severity or severe pain for which:
(1) care is sought as soon as possible after the medical condition becomes evident to the patient or the patient's parent or guardian; and
(2) the absence of immediate medical attention could result in:
(i) placing health in serious jeopardy;
(ii) serious impairment to bodily functions;
(iii) serious dysfunction of any body part; or
(iv) other serious medical consequences.

Credits

1996, July 11, P.L. 655, No. 112, § 1, effective in 180 days.

Footnotes

1
40 P.S. § 1551 et seq.
2
40 P.S. § 341 et seq.
3
40 P.S. § 1142-101 et seq. (repealed); see 40 P.S. § 991.2401 et seq.
40 P.S. § 3041, PA ST 40 P.S. § 3041
Current through Act 10 of the 2024 Regular Session. Some statute sections may be more current, see credits for details.
End of Document