40 Pa. Stat. § 991.1201

Current through Pa Acts 2024-35, 2024-56

Section 991.1201 - Definitions

As used in this article, the following words and phrases shall have the meanings given to them in this section:

"Department." The Insurance Department of the Commonwealth.

"Health care provider." A person, corporation, facility, institution or other entity licensed, certified or approved by the Commonwealth to provide health care or professional medical services. The term includes, but is not limited to, a physician, a professional nurse, a certified nurse-midwife, podiatrist, hospital, nursing home, ambulatory surgical center or birth center.

"Insurer." An entity subject to any of the following:

(1) 40 Pa.C.S. Ch. 61 (relating to hospital plan corporations) or 63 (relating to professional health services plan corporations).

(2) This act, including any preferred provider organization subject to section 630.

(3) The act of December 29, 1972 (P.L. 1701, No. 364), known as the "Health Maintenance Organization Act."

(4) The act of July 29, 1977 (P.L. 105, No. 38) , known as the "Fraternal Benefit Society Code."

"Public health care coverage." The State program of medical assistance established under the act of June 13, 1967 (P.L. 31, No. 21), known as the "Public Welfare Code."

"Supplemental major medical." Any major medical contract which supplements a contract or contracts providing hospitalization and medical surgical benefits.

40 P.S. § 991.1201

1921, May 17, P.L. 682, No. 284, art. XII, § 1201, added 1992, Dec. 15, P.L. 1129, No. 148, § 3, imd. effective.