31A-8a-102 - Definitions.
31A-8a-102. Definitions.
For purposes of this chapter:
(1) "Fee" means any periodic charge for use of a discount program.
(2) "Health care provider" means a health care provider as defined in Section 78B-3-403who:
(a) is practicing within the scope of the provider's license; and
(b) has agreed either directly or indirectly, by contract or any other arrangement with ahealth discount program operator, to provide a discount to enrollees of a health discountprogram.
(3) "Health discount program" means a business arrangement or contract in which aperson pays fees, dues, charges, or other consideration in exchange for a program that providesaccess to health care providers who agree to provide a discount for health care services.
(4) "Operates a health discount program" or "health discount program operator" meansto:
(a) enter into a contract or agreement either directly or indirectly with a health careprovider in this state which the health care provider agrees to provide discounts to enrollees ofthe health discount program;
(b) enter into a contract or agreement either directly or indirectly with a person in thisstate to provide access to more than one health care provider who has agreed to provide discountsfor medical services to enrollees of the health discount program;
(c) sell or distribute a health discount program in this state; or
(d) place your name on and market or promote a health discount program in this state.
(5) "Value-added benefit" means a discount offering with no additional charge made by ahealth insurer or health maintenance organization that is licensed under this title, in connectionwith existing contracts with the health insurer or health maintenance organization.
Amended by Chapter 3, 2008 General Session