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or furnishes medical or health care services, whether by insurance | | or otherwise and whether sold as an individual or group policy. | | "Medical insurance" does not include accidental injury, specified | | disease, hospital indemnity, dental, vision, disability income, | | Medicare supplement, long-term care or other limited benefit health | | insurance or credit insurance; coverage issued as a supplement to | | liability insurance; insurance arising out of workers' compensation | | or similar law; automobile medical payment insurance; or insurance | | under which benefits are payable with or without regard to fault | | and that is statutorily required to be contained in any liability | | insurance policy or equivalent self-insurance. |
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| | | 8.__Medicare.__"Medicare" means coverage under both Part A and | | Part B of Title XVIII of the federal Social Security Act, 42 | | United States Code, Section 1395 et seq., as amended. |
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| | | 9.__Plan.__"Plan" means the health insurance plan adopted by | | the board pursuant to this chapter. |
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| | | 10.__Producer.__"Producer" means a person who is licensed to | | sell health insurance in this State. |
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| | | 11.__Reinsurer.__"Reinsurer" means an insurer from whom a | | person providing health insurance for a resident procures | | insurance for itself with respect to all or part of the medical | | insurance risk of the person.__"Reinsurer" includes an insurer | | that provides employee benefit excess insurance. |
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| | | 12.__Resident.__"Resident" means an individual who: |
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| | | A.__Is legally located in the United States and has been | | legally domiciled in this State for a period to be | | established by the board, not to exceed one year, subject to | | the approval of the superintendent; |
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| | | B.__Is legally domiciled in this State on the date of | | application to the plan and is eligible for enrollment in | | the high-risk pool under this chapter as a result of the | | federal Health Insurance Portability and Accountability Act | | of 1996; or |
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| | | C.__Is legally domiciled in this State on the date of | | application to the plan and has been certified as eligible | | for federal trade adjustment assistance or for pension | | benefit guarantee corporation assistance, as provided by the | | federal Trade Adjustment Assistance Reform Act of 2002. |
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| | | 13.__Third-party administrator.__"Third-party administrator" |
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