§ 514E.1 Definitions
§ 514E.2 Iowa comprehensive health insurance association
§ 514E.4 Association policy — coverage and benefit requirements — deductibles — coinsurance
§ 514E.7 Policies — eligible persons — dependent coverage — preexisting conditions
§ 514E.8 Policies — renewal provisions — election to continue coverage upon death of policyholder
§ 514E.9 Rules
§ 514E.10 Collective action — immunity
§ 514E.11 Notice of association policy

Terms Used In Iowa Code > Chapter 514E - Iowa Comprehensive Health Insurance Association

  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • Association: means the Iowa comprehensive health insurance association established by section 514E. See Iowa Code 514E.1
  • Association policy: means an individual or group policy issued by the association that provides the coverage as set forth in the benefit plans adopted by the association's board of directors and approved by the commissioner. See Iowa Code 514E.1
  • Board: means the engineering and land surveying examining board provided by this chapter. See Iowa Code 542B.2
  • Carrier: means an insurer providing accident and sickness insurance under chapter 509, 514, 514A and includes a health maintenance organization established under chapter 514B if payments received by the health maintenance organization are considered premiums pursuant to section 514B. See Iowa Code 514E.1
  • Child: includes child by adoption. See Iowa Code 4.1
  • Church plan: means the same as defined in the federal Employee Retirement Income Security Act of 1974, 29 U. See Iowa Code 514E.1
  • Commissioner: means the commissioner of insurance. See Iowa Code 514E.1
  • Contract: means the same as defined in section 554D. See Iowa Code 554E.1
  • Contract: A legal written agreement that becomes binding when signed.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Creditable coverage: means health benefits or coverage provided to an individual under any of the following:
  • Damages: Money paid by defendants to successful plaintiffs in civil cases to compensate the plaintiffs for their injuries.
  • Dependent: A person dependent for support upon another.
  • Equitable: Pertaining to civil suits in "equity" rather than in "law." In English legal history, the courts of "law" could order the payment of damages and could afford no other remedy. See damages. A separate court of "equity" could order someone to do something or to cease to do something. See, e.g., injunction. In American jurisprudence, the federal courts have both legal and equitable power, but the distinction is still an important one. For example, a trial by jury is normally available in "law" cases but not in "equity" cases. Source: U.S. Courts
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Ex officio: Literally, by virtue of one's office.
  • Federally eligible individual: means an individual who satisfies the following:
  • 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
  • Fraud: Intentional deception resulting in injury to another.
  • Governmental plan: means as defined under section 3(32) of the federal Employee Retirement Income Security Act of 1974 and any federal governmental plan. See Iowa Code 514E.1
  • Group health plan: means an employee welfare benefit plan as defined in section 3(1) of the federal Employee Retirement Income Security Act of 1974, to the extent that the plan provides medical care including items and services paid for as medical care to employees or their dependents as defined under the terms of the plan directly or through insurance, reimbursement, or otherwise. See Iowa Code 514E.1
  • Health care services: means services, the coverage of which is authorized under chapter 509, chapter 514, chapter 514A, or chapter 514B as limited by benefit plans established by the association's board of directors, with the approval of the commissioner and includes services for the purposes of preventing, alleviating, curing, or healing human illness, injury or physical disability. See Iowa Code 514E.1
  • Health insurance: means accident and sickness insurance authorized by chapter 509, 514, or 514A. See Iowa Code 514E.1
  • Health insurance coverage: means health insurance coverage offered to individuals, including group conversion coverage. See Iowa Code 514E.1
  • Insured: means an individual who is provided qualified comprehensive health insurance under an association policy, which policy may include dependents and other covered persons. See Iowa Code 514E.1
  • Insurer: means a person duly licensed in this state as an insurance company pursuant to this subtitle. See Iowa Code 510.1B
  • Intellectual disability: means a diagnosis of intellectual disability or intellectual developmental disorder, global developmental delay, or unspecified intellectual disability or intellectual developmental disorder which diagnosis shall be made only when the onset of the person's condition was during the developmental period and based on an assessment of the person's intellectual functioning and level of adaptive skills. See Iowa Code 4.1
  • Involuntary termination: includes but is not limited to termination of group conversion coverage or where benefits under a state or federal law providing for continuation of coverage upon termination of employment will cease or have ceased. See Iowa Code 514E.1
  • Majority leader: see Floor Leaders
  • medical care: means amounts paid for any of the following:
     (1) The diagnosis, cure, mitigation, treatment, or prevention of disease, or amounts paid for the purpose of affecting a structure or function of the body. See Iowa Code 514E.1
  • Medicare: means the federal government health insurance program established under Tit. See Iowa Code 514E.1
  • Minority leader: See Floor Leaders
  • Oversight: Committee review of the activities of a Federal agency or program.
  • Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
  • person: means individual, corporation, limited liability company, government or governmental subdivision or agency, business trust, estate, trust, partnership or association, or any other legal entity. See Iowa Code 4.1
  • Policy: means a contract, policy, or plan of health insurance. See Iowa Code 514E.1
  • Rule: includes "regulation". See Iowa Code 4.1
  • 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
  • year: means twelve consecutive months. See Iowa Code 4.1