Iowa Code 514I.2 – Definitions
Current as of: 2023 | Check for updates
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As used in this chapter, unless the context otherwise requires:
1. “Benchmark benefit package” means any of the following:
a. The standard blue cross/blue shield preferred provider option service benefit plan, described in and offered under 5 U.S.C. § 8903(1).
b. A health benefits coverage plan that is offered and generally available to state employees in this state.
c. The plan of a health maintenance organization as defined in 42 U.S.C. § 300e, with the largest insured commercial, nonmedical assistance enrollment of covered lives in the state.
Terms Used In Iowa Code 514I.2
- Child: includes child by adoption. See Iowa Code 4.1
- Department: means the department of human services. See Iowa Code 514I.2
- Director: means the director of human services. See Iowa Code 514I.2
- following: when used by way of reference to a chapter or other part of a statute mean the next preceding or next following chapter or other part. See Iowa Code 4.1
- Health insurance coverage: means health insurance coverage as defined in 42 U. See Iowa Code 514I.2
- Insurer: means a person duly licensed in this state as an insurance company pursuant to this subtitle. See Iowa Code 510.1B
- plan: means health insurance coverage provided by a participating insurer under this chapter. See Iowa Code 514I.2
- program: means the healthy and well kids in Iowa program created in this chapter to provide health insurance coverage to eligible children. See Iowa Code 514I.2
- state: when applied to the different parts of the United States, includes the District of Columbia and the territories, and the words "United States" may include the said district and territories. See Iowa Code 4.1
2. “Cost sharing” means the payment of a premium or copayment as provided for by Tit. XXI of the federal Social Security Act and section 514I.10.
3. “Department” means the department of human services.
4. “Director” means the director of human services.
5. “Eligible child” means an individual who meets the criteria for participation in the program under section 514I.8.
6. “Hawk-i board” or “board” means the entity which adopts rules and establishes policy for, and directs the department regarding, the hawk-i program.
7. “Hawk-i program” or “program” means the healthy and well kids in Iowa program created in this chapter to provide health insurance coverage to eligible children.
8. “Health insurance coverage” means health insurance coverage as defined in 42 U.S.C. § 300gg-91.
9. “Participating insurer” means any of the following:
a. An entity licensed by the division of insurance of the department of commerce to provide health insurance in Iowa that has contracted with the department to provide health insurance coverage to eligible children under this chapter.
b. A managed care organization acting pursuant to a contract with the department of human services to administer the hawk-i program.
10. “Qualified child health plan” or “plan” means health insurance coverage provided by a participating insurer under this chapter.