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Iowa Code Title XIII. Commerce [Chs. 505-554D] § 514I.2. Definitions

Current as of January 01, 2024 | Updated by Findlaw Staff

<[Text subject to final changes by the Iowa Code Editor for Code 2024.]>

As used in this chapter, unless the context otherwise requires:

1. “Benchmark benefit package” means any of the following:

a. The standard blue cross/blue shield preferred provider option service benefit plan, described in and offered under 5 U.S.C. § 8903(1).

b. A health benefits coverage plan that is offered and generally available to state employees in this state.

c. The plan of a health maintenance organization as defined in 42 U.S.C. § 300e, with the largest insured commercial, nonmedical assistance enrollment of covered lives in the state.

2. “Cost sharing” means the payment of a premium or copayment as provided for by Tit. XXI of the federal Social Security Act and section 514I.10.

3. “Department” means the department of health and human services.

4. “Director” means the director of health and human services.

5. “Eligible child” means an individual who meets the criteria for participation in the program under section 514I.8.

6. “Hawki board” or “board” means the entity which adopts rules and establishes policy for, and directs the department regarding, the Hawki program.

7. “Hawki program” or “program” means the healthy and well kids in Iowa program created in this chapter to provide health insurance coverage to eligible children.

8. “Health insurance coverage” means health insurance coverage as defined in 42 U.S.C. § 300gg-91.

9. “Participating insurer” means any of the following:

a. An entity licensed by the division of insurance of the department of insurance and financial services to provide health insurance in Iowa that has contracted with the department to provide health insurance coverage to eligible children under this chapter.

b. A managed care organization acting pursuant to a contract with the department to administer the Hawki program.

10. “Qualified child health plan” or “plan” means health insurance coverage provided by a participating insurer under this chapter.

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Cite this article: FindLaw.com - Iowa Code Title XIII. Commerce [Chs. 505-554D] § 514I.2. Definitions - last updated January 01, 2024 | https://codes.findlaw.com/ia/title-xiii-commerce-chs-505-554d/ia-code-sect-514i-2/

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