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§ 991.1201. 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 2. Insurance Companies (Refs & Annos)
Article XII. Uniform Health Insurance Claim Form
40 P.S. § 991.1201
§ 991.1201. Definitions
As used in this article, the following words and phrases shall have the meanings given to them in this section:
“Department.” The Insurance Department of the Commonwealth.
“Health care provider.” A person, corporation, facility, institution or other entity licensed, certified or approved by the Commonwealth to provide health care or professional medical services. The term includes, but is not limited to, a physician, a professional nurse, a certified nurse-midwife, podiatrist, hospital, nursing home, ambulatory surgical center or birth center.
“Insurer.” An entity subject to any of the following:
(1) 40 Pa.C.S. Ch. 61 (relating to hospital plan corporations) or 63 (relating to professional health services plan corporations).
(2) This act, including any preferred provider organization subject to section 630.1
(3) The act of December 29, 1972 (P.L. 1701, No. 364), known as the “Health Maintenance Organization Act.”2
(4) The act of July 29, 1977 (P.L. 105, No. 38), known as the “Fraternal Benefit Society Code.”3
“Public health care coverage.” The State program of medical assistance established under the act of June 13, 1967 (P.L. 31, No. 21), known as the “Public Welfare Code.”4
“Supplemental major medical.” Any major medical contract which supplements a contract or contracts providing hospitalization and medical surgical benefits.

Credits

1921, May 17, P.L. 682, No. 284, art. XII, § 1201, added 1992, Dec. 15, P.L. 1129, No. 148, § 3, imd. effective.

Footnotes

40 P.S. § 764a.
40 P.S. § 1551 et seq.
40 P.S. § 1141-101 et seq. (repealed).
62 P.S. § 101 et seq.
40 P.S. § 991.1201, PA ST 40 P.S. § 991.1201
Current through Act 10 of the 2024 Regular Session. Some statute sections may be more current, see credits for details.
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