Terms Used In Michigan Laws 333.21501

  • Contract: A legal written agreement that becomes binding when signed.
  • Group health plan: means an employer program of health benefits, including an employee welfare benefit plan as defined in section 3(1) of subtitle A of title I of the employee retirement income security act of 1974, Public Law 93-406, 29 USC 1002, 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 Michigan Laws 333.21501
  • Health benefit plan: means a group health plan, an individual or group expense-incurred hospital, medical, or surgical policy or certificate, or an individual or group health maintenance organization contract. See Michigan Laws 333.21501
  • person: may extend and be applied to bodies politic and corporate, as well as to individuals. See Michigan Laws 8.3l
  • Public law: A public bill or joint resolution that has passed both chambers and been enacted into law. Public laws have general applicability nationwide.
  • Rural emergency hospital: means a hospital that is designated by the Centers for Medicare and Medicaid Services to offer rural emergency hospital services. See Michigan Laws 333.21501
  • Third party administrator: means that term as defined in section 2 of the third party administrator act, 1984 PA 218, MCL 550. See Michigan Laws 333.21501
  (1) As used in this part:
  (a) “Aircraft transport vehicle” means that term as defined in section 20902.
  (b) “Ambulance” means that term as defined in section 20902.
  (c) “Emergency patient” means that term as defined in section 20904.
  (d) “Group health plan” means an employer program of health benefits, including an employee welfare benefit plan as defined in section 3(1) of subtitle A of title I of the employee retirement income security act of 1974, Public Law 93-406, 29 USC 1002, 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.
  (e) “Health benefit plan” means a group health plan, an individual or group expense-incurred hospital, medical, or surgical policy or certificate, or an individual or group health maintenance organization contract. Health benefit plan does not include accident-only, credit, dental, or disability income insurance; long-term care insurance; coverage issued as a supplement to liability insurance; coverage only for a specified disease or illness; worker’s compensation or similar insurance; or automobile medical-payment insurance.
  (f) “Nonemergency patient” means that term as defined in section 20908.
  (g) “Participating provider” means a provider that, under contract with an insurer that issues health benefit plans, or with such an insurer’s contractor or subcontractor, has agreed to provide health care services to covered individuals and to accept payment by the insurer, contractor, or subcontractor for covered services as payment in full, other than coinsurance, copayments, or deductibles.
  (h) “Patient’s representative” means any of the following:
  (i) A person to whom a patient has given express written consent to represent the patient.
  (ii) A person authorized by law to provide consent for a patient.
  (iii) A patient’s treating health professional, but only if the patient is unable to provide consent.
  (i) “Rural emergency hospital” means a hospital that is designated by the Centers for Medicare and Medicaid Services to offer rural emergency hospital services.
  (j) “Rural emergency hospital services” means that term as defined in 42 USC 1395x.
  (k) “Third party administrator” means that term as defined in section 2 of the third party administrator act, 1984 PA 218, MCL 550.902.
  (2) In addition, article 1 contains general definitions and principles of construction applicable to all articles in this code and part 201 contains definitions applicable to this part.