Pennsylvania Statutes Title 40 P.S. Insurance § 3041. 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:

“Insurer.” The term means:

(1) Any insurance company, association or reciprocal, nonprofit hospital plan corporation.

(2) A nonprofit professional health service plan.

(3) A health maintenance organization organized and regulated under the act of December 29, 1972 (P.L. 1701, No. 364),  1 known as the Health Maintenance Organization Act.

(4) A risk-assuming preferred provider organization organized and regulated under the act of May 17, 1921 (P.L. 682, No. 284),  2 known as The Insurance Company Law of 1921.

(5) A preferred provider with a health management gatekeeper role for primary care physicians organized and regulated as a health services corporation or a preferred provider organization subject to the provisions of section 630  3 of The Insurance Company Law of 1921.

(6) A fraternal benefit society subject to the provisions of the act of December 14, 1992 (P.L. 835, No. 134),  4 known as the Fraternal Benefit Societies Code.

“Medical emergency.”A medical condition with acute symptoms of severity or severe pain for which:

(1) care is sought as soon as possible after the medical condition becomes evident to the patient or the patient's parent or guardian; and

(2) the absence of immediate medical attention could result in:

(i) placing health in serious jeopardy;

(ii) serious impairment to bodily functions;

(iii) serious dysfunction of any body part; or

(iv) other serious medical consequences.