Section 23-79-2302 - DefinitionsAs used in this subchapter:
(1) "Cost-sharing requirement" means a copayment, coinsurance, deductible, or annual limitation on cost sharing, including without limitation a limitation subject to the Patient Protection and Affordable Care Act, Pub. L. No. 111-148, that is required by or on behalf of an enrollee in order to receive a specific healthcare service, including a prescription drug, covered by a health benefit plan;(2) "Enrollee" means an individual entitled to healthcare services from a healthcare insurer;(3)(A) "Health benefit plan" means any individual, blanket, or group plan, policy, or contract for healthcare services issued or delivered by a healthcare insurer in this state.(B) "Health benefit plan" does not include:(ii) Specified disease plans;(iii) Disability income plans;(iv) Plans that provide only for indemnity for hospital confinement;(v) Long-term-care-only plans that do not include pharmacy benefits;(vi) Other limited-benefit health insurance policies or plans;(vii) Health benefit plans provided under Arkansas Constitution, Article 5, § 32, the Workers' Compensation Law, § 11-9-101 et seq., and the Public Employee Workers' Compensation Act, § 21-5-601 et seq.;(viii) A plan that provides only dental benefits or eye and vision care benefits; or(ix) A program or plan authorized and funded under 42 U.S.C. § 1396a et seq.;(4)(A) "Healthcare insurer" means an insurance company that is subject to state law regulating insurance and offers health insurance coverage under 42 U.S.C. § 300gg-91, as it existed on January 1, 2021, a health maintenance organization, or a hospital and medical service corporation.(B) "Healthcare insurer" does not include an entity that provides only dental benefits or eye and vision care benefits;(5) "Healthcare service" means an item or service provided to an individual for the purpose of preventing, alleviating, curing, or healing illness, injury, or physical disability; and(6) "Person" means a natural person, corporation, mutual company, unincorporated association, partnership, joint venture, limited liability company, trust, estate, foundation, not-for-profit corporation, unincorporated organization, government, or governmental subdivision or agency.Added by Act 2021, No. 965,§ 2, eff. 7/28/2021.