Definitions

Ark. Code Ann. § 23-79-3201 — under Insurance Policies Generally.

Ark. Code Ann. § 23-79-3201

(1) As used in this subchapter:(1) “Enrollee” means an individual entitled to coverage of healthcare services from a healthcare insurer;(2) (A) “Health benefit plan” means:(i) An individual, blanket, or group plan, policy, or contract for healthcare services issued, renewed, or extended in this state by a healthcare insurer, health maintenance organization, hospital medical service corporation, or self-insured governmental or church plan in this state; and(ii) Any health benefit program receiving state or federal appropriations from the State of Arkansas, including the Arkansas Medicaid Program and the Arkansas Health and Opportunity for Me Program established by the Arkansas Health and Opportunity for Me Act of 2021, § 23-61-1001 et seq.(B) “Health benefit plan” includes:(i) Indemnity and managed care plans; and(ii) Plans providing health benefits to state and public school employees under § 21-5-401 et seq.(C) “Health benefit plan” does not include:(i) A plan that provides only dental benefits or eye and vision care benefits;(ii) A disability income plan;(iii) A credit insurance plan;(iv) Insurance coverage issued as a supplement to liability insurance;(v) Medical payments under an automobile or homeowners insurance plan;(vi) A health benefit plan provided under Arkansas Constitution, Article 5, § 32, the Workers' Compensation Law, § 11-9-101 et seq., or the Public Employee Workers' Compensation Act, § 21-5-601 et seq.;(vii) A plan that provides only indemnity for hospital confinement;(viii) An accident-only plan;(ix) A specified disease plan other than a cancer insurance plan or cancer supplemental policy; or(x) A long-term-care-only plan;(3) (A) “Healthcare insurer” means an insurance company, hospital and medical service corporation, health maintenance organization, or a nonprofit agricultural membership organization as defined in § 23-60-104 that issues or delivers health benefit plans in this state.(B) “Healthcare insurer” does not include an entity that provides only dental benefits or eye and vision care benefits;(4) “Healthcare professional” means a person who is licensed, certified, or otherwise authorized by the laws of this state to administer health care in the ordinary course of the practice of his or her profession; and(5) “Healthcare service” means an item or service provided to an individual for the purposes of alleviating, curing, healing, or preventing human illness, injury, or physical disability.

(1) “Enrollee” means an individual entitled to coverage of healthcare services from a healthcare insurer;

(2) (A) “Health benefit plan” means:(i) An individual, blanket, or group plan, policy, or contract for healthcare services issued, renewed, or extended in this state by a healthcare insurer, health maintenance organization, hospital medical service corporation, or self-insured governmental or church plan in this state; and(ii) Any health benefit program receiving state or federal appropriations from the State of Arkansas, including the Arkansas Medicaid Program and the Arkansas Health and Opportunity for Me Program established by the Arkansas Health and Opportunity for Me Act of 2021, § 23-61-1001 et seq.(B) “Health benefit plan” includes:(i) Indemnity and managed care plans; and(ii) Plans providing health benefits to state and public school employees under § 21-5-401 et seq.(C) “Health benefit plan” does not include:(i) A plan that provides only dental benefits or eye and vision care benefits;(ii) A disability income plan;(iii) A credit insurance plan;(iv) Insurance coverage issued as a supplement to liability insurance;(v) Medical payments under an automobile or homeowners insurance plan;(vi) A health benefit plan provided under Arkansas Constitution, Article 5, § 32, the Workers' Compensation Law, § 11-9-101 et seq., or the Public Employee Workers' Compensation Act, § 21-5-601 et seq.;(vii) A plan that provides only indemnity for hospital confinement;(viii) An accident-only plan;(ix) A specified disease plan other than a cancer insurance plan or cancer supplemental policy; or(x) A long-term-care-only plan;

(A) “Health benefit plan” means:(i) An individual, blanket, or group plan, policy, or contract for healthcare services issued, renewed, or extended in this state by a healthcare insurer, health maintenance organization, hospital medical service corporation, or self-insured governmental or church plan in this state; and(ii) Any health benefit program receiving state or federal appropriations from the State of Arkansas, including the Arkansas Medicaid Program and the Arkansas Health and Opportunity for Me Program established by the Arkansas Health and Opportunity for Me Act of 2021, § 23-61-1001 et seq.

(i) An individual, blanket, or group plan, policy, or contract for healthcare services issued, renewed, or extended in this state by a healthcare insurer, health maintenance organization, hospital medical service corporation, or self-insured governmental or church plan in this state; and

(ii) Any health benefit program receiving state or federal appropriations from the State of Arkansas, including the Arkansas Medicaid Program and the Arkansas Health and Opportunity for Me Program established by the Arkansas Health and Opportunity for Me Act of 2021, § 23-61-1001 et seq.

(B) “Health benefit plan” includes:(i) Indemnity and managed care plans; and(ii) Plans providing health benefits to state and public school employees under § 21-5-401 et seq.

(i) Indemnity and managed care plans; and

(ii) Plans providing health benefits to state and public school employees under § 21-5-401 et seq.

(C) “Health benefit plan” does not include:(i) A plan that provides only dental benefits or eye and vision care benefits;(ii) A disability income plan;(iii) A credit insurance plan;(iv) Insurance coverage issued as a supplement to liability insurance;(v) Medical payments under an automobile or homeowners insurance plan;(vi) A health benefit plan provided under Arkansas Constitution, Article 5, § 32, the Workers' Compensation Law, § 11-9-101 et seq., or the Public Employee Workers' Compensation Act, § 21-5-601 et seq.;(vii) A plan that provides only indemnity for hospital confinement;(viii) An accident-only plan;(ix) A specified disease plan other than a cancer insurance plan or cancer supplemental policy; or(x) A long-term-care-only plan;

(i) A plan that provides only dental benefits or eye and vision care benefits;

(ii) A disability income plan;

(iii) A credit insurance plan;

(iv) Insurance coverage issued as a supplement to liability insurance;

(v) Medical payments under an automobile or homeowners insurance plan;

(vi) A health benefit plan provided under Arkansas Constitution, Article 5, § 32, the Workers' Compensation Law, § 11-9-101 et seq., or the Public Employee Workers' Compensation Act, § 21-5-601 et seq.;

(vii) A plan that provides only indemnity for hospital confinement;

(viii) An accident-only plan;

(ix) A specified disease plan other than a cancer insurance plan or cancer supplemental policy; or

(x) A long-term-care-only plan;

(3) (A) “Healthcare insurer” means an insurance company, hospital and medical service corporation, health maintenance organization, or a nonprofit agricultural membership organization as defined in § 23-60-104 that issues or delivers health benefit plans in this state.(B) “Healthcare insurer” does not include an entity that provides only dental benefits or eye and vision care benefits;

(A) “Healthcare insurer” means an insurance company, hospital and medical service corporation, health maintenance organization, or a nonprofit agricultural membership organization as defined in § 23-60-104 that issues or delivers health benefit plans in this state.

(B) “Healthcare insurer” does not include an entity that provides only dental benefits or eye and vision care benefits;

(4) “Healthcare professional” means a person who is licensed, certified, or otherwise authorized by the laws of this state to administer health care in the ordinary course of the practice of his or her profession; and

(5) “Healthcare service” means an item or service provided to an individual for the purposes of alleviating, curing, healing, or preventing human illness, injury, or physical disability.