Pennsylvania Statutes Title 40 P.S. Insurance § 1582. Definitions

The following words and phrases when used in this act shall have the meanings given to them in this section unless the context clearly indicates otherwise:

“Covered dentist services.” Dental services for which reimbursement is available under an insured's policy, regardless of whether the reimbursement is contractually limited by a deductible, copayment, coinsurance, waiting period, annual or lifetime maximum, frequency limitation or alternative benefit payment.

“Health insurance policy.”Any individual or group health insurance policy, contract or plan which provides medical or health care coverage by any health care facility or licensed health care provider on an expense-incurred service or prepaid basis and which is offered by or is governed under any of the following:

Act of May 17, 1921 (P.L. 682, No. 284),  1 known as The Insurance Company Law of 1921.

Subarticle (f) of Article IV of the act of June 13, 1967 (P.L. 31, No. 21),  2 known as the Public Welfare Code.

Act of December 29, 1972 (P.L. 1701, No. 364),  3 known as the Health Maintenance Organization Act.

Act of May 18, 1976 (P.L. 123, No. 54),  4 known as the Individual Accident and Sickness Insurance Minimum Standards Act.

Act of December 14, 1992 (P.L. 835, No. 134),  5 known as the Fraternal Benefit Societies Code.

A nonprofit corporation subject to 40 Pa.C.S. Chs. 61 (relating to hospital plan corporations) and 63 (relating to professional health services plan corporations).

“Insurer.” Any entity that issues an individual or group health insurance policy, contract or plan described under the definition of “health insurance policy” in this section.