P.R. Laws tit. 26, § 301

2019-02-20 00:00:00+00
§ 301. Definitions

For purposes of this chapter, the following terms shall have the meaning stated below, except where the context clearly indicates otherwise.

(1) Domestic insurer.— Is one constituted under the laws of Puerto Rico.

(2) Foreign insurer.— Is one constituted under the laws of any state or country other than Puerto Rico.

(3) Administration.— Means the Puerto Rico Health Insurance Administration (ASES, Spanish acronym), as established pursuant to §§ 7001 et seq. of Title 24.

(4) Department of Health.— Means the Department of Health of the Government of Puerto Rico, as established pursuant to §§ 171 et seq. of Title 3.

(5) State.— Means any state of the United States of America, the District of Columbia, and the territories, except as otherwise intended by the context.

(6) United States.— Means the United States of America, and when used to mean a place, it should also include the District of Columbia and the territories.

(7) Subcontractor.— Means the party legally or contractually responsible for rendering services under the Medical Assistance Program in Puerto Rico.

(8) Third party.— Means an administrator, a health care payer, a pharmacy benefit manager, or a health services organization, as defined in § 7002 of Title 24.

History —Ins. Code § 3.010; Dec. 21, 2010, No. 210, § 1, eff. 90 days after Dec. 21, 2010.