Health plan issuer definition

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 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

Examples of Health plan issuer in a sentence

  • 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.

  • For example, as a result of the Settlement Agreement, SCE ratepayers will receive a $4 million credit applied to their rates as well as the benefit of avoiding another $2 million rate increase for which SCE may have been eligible.

  • Out-of-cycle justification (if needed; requires commandant, assistant commandant, or equivalent signature).

  • This means that it was not possible to provide an accurate success rate, but a confirmation rate was estimated.


More Definitions of Health plan issuer

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.
Health plan issuer or “issuer” means an entity required to be licensed under this
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, and self-funded multiple employer welfare arrangements.11
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 ANHB0608IN-134/ec
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 Ohio’s insurance laws that contracts to provide, pay for, or reimburse any of the costs of health care services. The term includes a sickness and accident insurer, a health insuring corporation, a fraternal benefit society, a self- funded multiple employer welfare arrangement, and a nonfederal, government health plan. The term also includes a third-party administrator, such as a pharmacy benefit manager, to the extent that the benefits the administrator is contracted to administer are subject to Ohio insurance laws or to the Superintendent’s jurisdiction.
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