- (a) Unless otherwise separately defined in this part and consistent with state law, the terms or phrases as used in this part shall follow the definitions of such terms or phrases as defined in Arkansas Code § 23-66-216, and the Consolidated Appropriations Act, 2021, Pub. L. No. 116-260.
(b) As used in this part:
- (1) "Commissioner" means the Insurance Commissioner;
(2)
- (A) "Health benefit plan" means any individual, blanket, or group plan, policy, or contract for healthcare services issued, renewed, or extended in this state by a health carrier on or after January 1, 2024.
- (B) "Health benefit plan" does not include a plan providing healthcare services pursuant to Arkansas Constitution, Article 5, § 32, the Workers’ Compensation Law, Arkansas Code § 11-9-101 et seq., and the Public Employee Workers’ Compensation Act, Arkansas Code § 21-5-601 et seq., nor include an accident-only, specified disease, hospital indemnity, long-term care, disability income, or limited-benefit health insurance policy.
- (C) The provisions of this part shall not apply to Medicare supplement or Medicare Advantage policies or policies offering coverage through Medicare.
- (D) This part shall also not apply to vision or dental only plans; and
(3)
- (A) "Health carrier" means an entity subject to the insurance laws and rules of this state, or subject to the jurisdiction of the Insurance Commissioner, that contracts or offers to contract, or enters into an agreement to provide, deliver, arrange for, pay for, or reimburse any of the costs of healthcare services, including:
(i) A sickness and accident insurance company;
(ii) A health maintenance organization;
(iii) A nonprofit hospital and health service corporation; or
- (iv) Any other entity providing a plan of:
- (a) (a) Health insurance;
(b) (b) Health benefits; or
(c) (c) Health services.
- (B) A health carrier does not include an automobile insurer paying medical or hospital benefits under Arkansas Code § 23-89-202(1), nor shall it include a self-insured employer health benefits plan.
- (C) A health carrier also does not include any person, company, or organization, licensed or registered to issue or who issues any insurance policy or insurance contract in this state providing medical or hospital benefits for accidental injury or accidental disability.