Health plan issuer means an entity subject to the insurance laws and rules of this state, or subject to the jurisdiction of the superintendent of insurance, that contracts, or offers to contract to provide, deliver, arrange for, pay for, or reimburse any of the costs of health care services under a health benefit plan, including a sickness and accident insurance company, a health insuring corporation, a fraternal benefit society, a self-funded multiple employer welfare arrangement, or a nonfederal, government health plan. “Health plan issuer” includes a third party administrator to the extent that the benefits that such an entity is contracted to administer under a health benefit plan are subject to the insurance laws and rules of this state or subject to the jurisdiction of the superintendent. The “Health plan issuer” is also called the Administrator in this Benefit Booklet.
Health plan issuer means an entity subject to the insurance laws and rules of this state, or subject to the jurisdiction of the superintendent of insurance, that contracts, or offers to contract to provide, deliver, arrange for, pay for, or reimburse any of the costs of health care services under a health benefit plan, including a sickness and accident insurance company, a health insuring corporation, a fraternal benefit society, a self- funded multiple employer welfare arrangement, or a
Health plan issuer means any entity subject to the insurance laws and rules of this state, or subject to the jurisdiction of the Superintendent of Insurance, that covers any of the costs of health care services. The term includes a sickness and accident insurer, a fraternal benefit society, a self-funded multiple employer welfare arrangement, and a nonfederal government health plan. "Health plan issuer" also includes a third-party administrator.
Examples of Health plan issuer in a sentence
Health plan issuer reimbursement for unanticipated out of network care.
Health plan issuer identification cards Identification cards provided to a covered person, if any, must clearly and conspicuously denote the letters "ODI" prominently displayed on the front of the card or document.
This means that it was not possible to provide an accurate success rate, but a confirmation rate was estimated.
Hence, in the process designing the research tools as well as the analytical framework for this study an attempt was made to contextualize to the local reality, the various concepts in the SL framework put forth by Chambers and Conway.
More Definitions of Health plan issuer
Health plan issuer means an entity subject to the insurance laws and rules of this state, or subject to the jurisdiction of the superintendent of insurance, that contracts, or offers to contract to
Health plan issuer or “issuer” means an entity required to be licensed under this
Health plan issuer means an entity subject to Ohio insurance laws that provides or reimburses the costs of health care services under a health benefit plan. The term includes a sickness and accident insurance company, a health insuring corporation, a fraternal benefit society, a self-funded multiple employer welfare arrangement, a nonfederal government health plan, or a third-party administrator.11 HISTORY ANHB0608RH-134
Health plan issuer or “issuer” means an entity required to be licensed under this chapter that contracts, or offers to contract to provide, deliver, arrange for, pay for, or reimburse any of the costs of health care services under a health benefit plan, including accident and sickness insurers, nonprofit hospital service corporations, medical service corporations and dental service organizations, prepaid limited health service organizations, health maintenance organizations, preferred provider organizations, provider sponsored network, and any pharmacy benefit manager that administers a fully-funded or self-funded plan.
Health plan issuer means an entity subject to the Ohio Insurance Laws and rules, or subject to the jurisdiction of the Superintendent of Insurance, that contracts, or offers to contract to provide, deliver, arrange for, pay for, or reimburse any of the costs of health care services under a health benefit plan. “Health plan issuer” includes health insuring corporations, sickness and accident insurers, public employee benefit plans, self-funded multiple employer welfare arrangements, and third-party administrators such as pharmacy benefit managers.11
Health plan issuer or “issuer” means an entity required
Health plan issuer means an entity subject to Ohio’s insurance laws that contracts to provide, pay for, or reimburse any of the costs of health care services.2