376.395. Definitions for group health conversion policy requirements.
Definitions for group health conversion policy requirements.
376.395. As used in sections 376.395 to 376.404 thefollowing terms shall mean:
(1) "Group policy", a group health insurance policy issuedby an insurance company and a group contract issued by a healthservice corporation, a health maintenance organization or asimilar corporation or organization;
(2) "Group policyholder", the entity purchasing the grouppolicy from the insurer;
(3) "Individual policy" or "converted policy", anindividual health insurance policy issued by an insurancecompany or an individual health services contract issued by ahealth service corporation, a health maintenance organizationor a similar corporation or organization;
(4) "Insurer", the entity issuing a group policy or anindividual or converted policy;
(5) "Medicare", Title XVIII of the United States SocialSecurity Act as added by the Social Security Amendments of 1965or as later amended or superseded;
(6) "Premium", any premium or other consideration payablefor coverage under a group or individual policy.
(L. 1981 S.B. 58 § 1)Effective 1-1-83