Section 65-4 - Definitions (a) As used in this regulation: - (i) Domicile state means the state that originally approved for sale the health insurance policies that the insurer intends to sell in Wyoming pursuant to W. S. 26-18-301, et seq.
- (ii) Essential community provider means a provider that serves predominantly low-income or medically underserved individuals.
- (iii) Health insurance means individual disability policies, small group disability policies, or high deductible health policies as defined by W.S. § 26-1-102(a)(xxxiii).
- (iv) Out-of-state health insurance policy means a plan sold pursuant to W.S. § 26-18-301, et seq. by a Wyoming licensed insurer that has been approved for sale in another state.
- (v) Provider network means the facilities, providers, and supplier the insurer has contracted with to provide health care services.
- (vi) SERFF means the system for electronic rate and form filing as developed and implemented by the National Association of Insurance Commissioners.
- (vii) Wyoming mandated benefits means benefits required for individual and group plans including adult wellness benefits pursuant to W.S. § 26-18-103(b) and W.S. § 26-19-107(h); mandated coverage pursuant to W.S. § 26-20-101, W.S. § 26-20-201, W.S. § 26-20-301, and W.S. § 26-20-401; for group plans only, public health screenings pursuant to W.S. § 26-19-107(j); and any other benefits mandated in Wyoming by statute after the date of adoption of this regulation.
044-65 Wyo. Code R. § 65-4