§ 62A.451 — Definitions
Plain-Language Summary
Defines key terms used in the long-term care insurance sections, including what counts as long-term care insurance, qualified long-term care insurance, and related concepts.
62A.451 DEFINITIONS.
§
Subdivision 1.Applicability.
For purposes of sections 62A.451 to 62A.4528, the terms defined in this section have the meanings given. §
Subd. 2.Commissioner.
“Commissioner” means the commissioner of commerce. §
Subd. 3.Enrollee.
“Enrollee” means an individual who is entitled to limited health services under a contract with an entity authorized to provide or arrange for such services under sections 62A.451 to 62A.4528. §
Subd. 4.Evidence of coverage.
“Evidence of coverage” means the certificate, agreement, or contract issued under section 62A.4516 setting forth the coverage to which an enrollee is entitled. §
Subd. 5.Limited health service.
“Limited health service” means pharmaceutical services covered under Medicare Part D. Limited health service does not include hospital, medical, surgical, or emergency services. §
Subd. 6.Prepaid limited health service organization.
“Prepaid limited health service organization” means any corporation, partnership, or other entity that, in return for a prepayment, undertakes to provide or arrange for the provision of limited health services to enrollees. Prepaid limited health service organization does not include:
(1) an entity otherwise authorized under the laws of this state either to provide any limited health service on a prepayment or other basis or to indemnify for any limited health service;
(2) an entity that meets the requirements of section 62A.4514; or
(3) a provider or entity when providing or arranging for the provision of limited health services under a contract with a prepaid limited health service organization or with an entity described in clause (1) or (2). §
Subd. 7.Provider.
“Provider” means a physician, pharmacist, health facility, or other person or institution that is licensed or otherwise authorized to deliver or furnish limited health services under sections 62A.451 to 62A.4528. §
Subd. 8.Subscriber.
“Subscriber” means the person whose employment or other status, except for family dependency, is the basis for entitlement to limited health services under a contract with an entity authorized to provide or arrange for such services under sections 62A.451 to 62A.4528.
History:
History: History:
2005 c 17 art 2 s 1