Pennsylvania Statutes Title 72 P.S. Taxation and Fiscal Affairs § 201-G. Definitions

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

“Account.”  The Exchange Affordability Assistance Account established under section 203-G.  1

“Affordability assistance program.”  The Affordability Assistance Program established under section 202-G(a). 2

“Affordable Care Act.”  The Patient Protection and Affordable Care Act (Public Law 111-148, 124 Stat. 119), as amended by the Health Care and Education Reconciliation Act of 2010 (Public Law 111-152, 124 Stat. 1029).

“American Rescue Plan.”  The American Rescue Plan Act of 2021 (Public Law 117-2, 135 Stat. 4).

“Department.”  The Insurance Department of the Commonwealth.

“Eligible individual.”  An individual or household who meets the financial requirements under section 202-G(b).

“Exchange authority.”  The Pennsylvania Health Insurance Exchange Authority established under 40 Pa.C.S. § 9302(a) (relating to Pennsylvania Health Insurance Exchange Authority).

“Health insurance policy.”  A policy, subscriber contract, certificate or plan issued by an insurer that provides medical or health care coverage.  The term includes a dental only and a vision only policy.  The term does not include any of the following:

(1) An accident only policy.

(2) A credit only policy.

(3) A long-term care or disability income policy.

(4) A specified disease policy.

(5) A Medicare supplement policy.

(6) A TRICARE policy, including a Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) supplement policy.

(7) A fixed indemnity policy.

(8) A hospital indemnity policy.

(9) A worker's compensation policy.

(10) An automobile medical payment policy under 75 Pa.C.S. (relating to vehicles).

(11) A homeowner's insurance policy.

(12) Any other similar policies providing for limited benefits.

“Medical assistance program.”  The medical assistance program established under Article IV of the act of June 13, 1967 (P.L. 31, No. 21),  3 known as the Human Services Code.

“Reinsurance program.”  The Commonwealth Health Insurance Reinsurance Program established under 40 Pa.C.S. § 9502(b) (relating to implementation of waiver and establishment of reinsurance program).