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Pennsylvania Statutes Title 40 P.S. Insurance § 3502. Definitions

Current as of January 01, 2022 | Updated by FindLaw Staff

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:

“Child immunizations.”Immunizations, including the immunizing agent, reimbursement for which shall not exceed 150% of the average wholesale price, which, as determined by the Department of Health, conform with the standards of the Advisory Committee on Immunization Practices of the Center for Disease Control, the United States Department of Health and Human Services.

“Health insurance policy.”Except for specified disease policies, shall mean any group health insurance policy, contract or plan, or any individual policy, contract or plan with dependent coverage for children, which provides medical coverage on an expense-incurred, service or prepaid basis. The term includes the following:

(1) A health insurance policy or contract issued by a nonprofit corporation subject to 40 Pa.C.S. Chs. 61 (relating to hospital plan corporations), 63 (relating to professional health services plan corporations) and 65 (relating to fraternal benefit societies).

(2) A health service plan operating under the act of December 29, 1972 (P.L. 1701, No. 364), known as the Health Maintenance Organization Act.  1

(3) An employee welfare benefit plan as defined in section 3 of the Employee Retirement Income Security Act of 1974 (Public Law 93-406, 29 U.S.C. § 1001 et seq.).

1 40 P.S. § 1551 et seq.
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Cite this article: FindLaw.com - Pennsylvania Statutes Title 40 P.S. Insurance § 3502. Definitions - last updated January 01, 2022 | https://codes.findlaw.com/pa/title-40-ps-insurance/pa-st-sect-40-3502/

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