Pennsylvania Statutes Title 40 P.S. Insurance § 1553. Definitions

As used in this act:

“Basic health services” means those health services, including as a minimum, but not limited to, emergency care, inpatient hospital and physician care, ambulatory physician care, and outpatient and preventive medical services.

“Commissioner” means the Insurance Commissioner of the Commonwealth of Pennsylvania.

“Direct provider” means an individual who is a direct provider of health care services under a benefit plan of a health maintenance organization or an individual whose primary current activity is the administration of health facilities in which such care is provided. An individual shall not be considered a direct provider of health care solely because the individual is a member of the governing body of a health-related organization.

“Health maintenance organization” means an organized system which combines the delivery and financing of health care and which provides basic health services to voluntarily enrolled subscribers for a fixed prepaid fee.

“Limited liability company” means a limited liability company listed under 15 Pa.C.S. § 8911(a)(3) (relating to purposes).

“Secretary” means the Secretary of Health of the Commonwealth of Pennsylvania.