Conn. Agencies Regs. § 38a-192-1

Current through October 16, 2024

Section 38a-192-1 - Definitions

As used in Sections 38a-192-1 to 38a-192-3 inclusive:

(1) "Annual" means any 12 month period as determined by the contract;

(2) "Commissioner" means the Insurance Commissioner;

(3) "Copay" means a flat fee that an enrollee or member is required to pay each time a specified service is rendered;

(4) "Deductible" means the amount of covered expenses which must be accumulated annually before benefits become payable as additional covered expenses incurred;

(5) "Enrollee" means "enrollee" as defined in section 38a-175(14) of the Connecticut General Statutes;

(6) "Health Care Center" means "health care center" as defined in section 38a-175(9) of the Connecticut General Statutes;

(7) "High Deductible Plan" means a contract for health care services that has an annual deductible for individuals of not less than $1,500 for in-network services and an annual deductible for families of not less than $3,000;

(8) "Member" means "member" as defined in section 38a-175(14) of the Connecticut General Statutes; and

(9) "Provider" means "provider" as defined in section 38a-175(19) of the Connecticut General Statutes.

Conn. Agencies Regs. § 38a-192-1

Adopted effective September 3, 2008