Definitions

Ark. Code Ann. § 23-79-3601 — under Insurance Policies Generally.

Ark. Code Ann. § 23-79-3601

(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 or a policy or contract for healthcare services offered, issued, renewed, delivered, or extended in this state by a healthcare insurer; and(ii) A 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 indemnity and managed care plans.(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) A medical payment 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;(x) A long-term-care-only plan;(xi) A plan providing health benefits to state and public school employees under § 21-5-401 et seq.; or(xii) A health benefit plan offered by a trust established under §§ 14-54-101 and 25-20-104 providing benefits, including accident and health benefits, death benefits, dental benefits, and disability income benefits;(3) (A) “Healthcare insurer” means an entity subject to the insurance laws of this state or the jurisdiction of the Insurance Commissioner that contracts or offers to contract to provide health insurance coverage, including without limitation an insurance company, a hospital and medical service corporation, a health maintenance organization, a self-insured governmental or church plan in this state, the Arkansas Medicaid Program, and a nonprofit agricultural membership organization as defined in § 23-60-104.(B) “Healthcare insurer” does not include an entity or trust established under §§ 14-54-101 and 25-20-104 that provides:(i) Only dental benefits or eye and vision care benefits;(ii) Health benefits to state and public school employees under § 21-5-401 et seq.; or(iii) Benefits, including accident and health benefits, death benefits, dental benefits, and disability income benefits; and(4) “Licensed birthing center” means a birthing center licensed by the Department of Health that provides birthing services.

(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 or a policy or contract for healthcare services offered, issued, renewed, delivered, or extended in this state by a healthcare insurer; and(ii) A 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 indemnity and managed care plans.(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) A medical payment 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;(x) A long-term-care-only plan;(xi) A plan providing health benefits to state and public school employees under § 21-5-401 et seq.; or(xii) A health benefit plan offered by a trust established under §§ 14-54-101 and 25-20-104 providing benefits, including accident and health benefits, death benefits, dental benefits, and disability income benefits;

(A) “Health benefit plan” means:(i) An individual, blanket, or group plan or a policy or contract for healthcare services offered, issued, renewed, delivered, or extended in this state by a healthcare insurer; and(ii) A 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 or a policy or contract for healthcare services offered, issued, renewed, delivered, or extended in this state by a healthcare insurer; and

(ii) A 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 indemnity and managed care plans.

(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) A medical payment 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;(x) A long-term-care-only plan;(xi) A plan providing health benefits to state and public school employees under § 21-5-401 et seq.; or(xii) A health benefit plan offered by a trust established under §§ 14-54-101 and 25-20-104 providing benefits, including accident and health benefits, death benefits, dental benefits, and disability income benefits;

(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) A medical payment 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;

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

(xi) A plan providing health benefits to state and public school employees under § 21-5-401 et seq.; or

(xii) A health benefit plan offered by a trust established under §§ 14-54-101 and 25-20-104 providing benefits, including accident and health benefits, death benefits, dental benefits, and disability income benefits;

(3) (A) “Healthcare insurer” means an entity subject to the insurance laws of this state or the jurisdiction of the Insurance Commissioner that contracts or offers to contract to provide health insurance coverage, including without limitation an insurance company, a hospital and medical service corporation, a health maintenance organization, a self-insured governmental or church plan in this state, the Arkansas Medicaid Program, and a nonprofit agricultural membership organization as defined in § 23-60-104.(B) “Healthcare insurer” does not include an entity or trust established under §§ 14-54-101 and 25-20-104 that provides:(i) Only dental benefits or eye and vision care benefits;(ii) Health benefits to state and public school employees under § 21-5-401 et seq.; or(iii) Benefits, including accident and health benefits, death benefits, dental benefits, and disability income benefits; and

(A) “Healthcare insurer” means an entity subject to the insurance laws of this state or the jurisdiction of the Insurance Commissioner that contracts or offers to contract to provide health insurance coverage, including without limitation an insurance company, a hospital and medical service corporation, a health maintenance organization, a self-insured governmental or church plan in this state, the Arkansas Medicaid Program, and a nonprofit agricultural membership organization as defined in § 23-60-104.

(B) “Healthcare insurer” does not include an entity or trust established under §§ 14-54-101 and 25-20-104 that provides:(i) Only dental benefits or eye and vision care benefits;(ii) Health benefits to state and public school employees under § 21-5-401 et seq.; or(iii) Benefits, including accident and health benefits, death benefits, dental benefits, and disability income benefits; and

(i) Only dental benefits or eye and vision care benefits;

(ii) Health benefits to state and public school employees under § 21-5-401 et seq.; or

(iii) Benefits, including accident and health benefits, death benefits, dental benefits, and disability income benefits; and

(4) “Licensed birthing center” means a birthing center licensed by the Department of Health that provides birthing services.