Arkansas Code
Chapter 76 - Health Maintenance Organizations
§ 23-76-102. Definitions

As used in this chapter:
(1) “Commissioner” means the Insurance Commissioner;
(2) “Domestic corporation” means any corporation organized pursuant to the Arkansas Business Corporation Act, § 4-26-101 et seq., and the Arkansas Nonprofit Corporation Act, § 4-28-201 et seq.;
(3) “Enrollee” means an individual who has been enrolled in a healthcare plan;
(4) “Evidence of coverage” means any certificate, agreement, contract, identification card, or document issued to an enrollee setting out the coverage to which the enrollee is entitled;
(5) “Healthcare plan” means any arrangement whereby any person undertakes to provide, arrange for, pay for, or reimburse any part of the cost of any healthcare services through an individually underwritten or group master contract, and at least part of the arrangement consists of arranging for, or the provision of, healthcare services as distinguished from mere indemnification against the cost of the services on a prepaid basis through insurance or otherwise;
(6) “Healthcare services” means any services included in the furnishing to any individual of medical or dental care, or hospitalization, or services incident to the furnishing of care or hospitalization, as well as the furnishing to any person of all other services or goods for the purpose of preventing, alleviating, curing, or healing human illness or injury;
(7) “Health maintenance organization” means any person which undertakes to provide or arrange for one (1) or more healthcare plans;
(8) “Health professional” means physicians, dentists, optometrists, nurses, podiatrists, pharmacists, and other individuals engaged in the delivery of health services as are or may be designated under the Health Maintenance Organization Act of 1973 or any amendment thereto or regulation adopted thereunder;
(9) “Person” means any natural or artificial person, including, but not limited to, individuals, partnerships, associations, trusts, or corporations; and
(10) “Provider” means any person who is licensed in this state to furnish healthcare services as a health professional.

Structure Arkansas Code

Arkansas Code

Title 23 - Public Utilities and Regulated Industries

Subtitle 3 - Insurance

Chapter 76 - Health Maintenance Organizations

§ 23-76-101. Purpose

§ 23-76-102. Definitions

§ 23-76-103. Applicability of Arkansas Insurance Code and laws concerning hospital and medical service corporations

§ 23-76-104. Arkansas Insurance Code sections applicable to health maintenance organizations

§ 23-76-105. Penalties — Enforcement

§ 23-76-106. License to practice, sell, or dispense required

§ 23-76-107. Establishment

§ 23-76-108. Issuance of certificate of authority

§ 23-76-109. Powers — Definition

§ 23-76-110. Advisory board

§ 23-76-111. Fiduciary responsibilities of director, officer, or partner

§ 23-76-112. Evidence of coverage and charges for healthcare services

§ 23-76-113. Annual report and quarterly report

§ 23-76-114. Information to enrollees

§ 23-76-115. Open enrollment

§ 23-76-116. Complaint system

§ 23-76-117. Investments

§ 23-76-118. Protection against insolvency

§ 23-76-119. Prohibited practices — Definition

§ 23-76-120. Regulation of agents — Definition

§ 23-76-121. Powers of insurers and hospital and medical service corporations

§ 23-76-122. Examinations

§ 23-76-123. Suspension or revocation of certificate of authority

§ 23-76-124. Rehabilitation, liquidation, or conservation of health maintenance organization

§ 23-76-125. Rules

§ 23-76-126. Administrative proceedings

§ 23-76-127. Fees

§ 23-76-128. Applications, filings, and reports public

§ 23-76-129. Medical information confidential — Exceptions

§ 23-76-130. Insurance Commissioner's authority to contract

§ 23-76-131. Tax on premiums and copayments

§ 23-76-132. College students