Section 1. Definitions.
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), 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), 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),
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.