As used in sections 376.395 to 376.404 the following terms shall mean:

(1) “Group policy”, a group health insurance policy issued by an insurance company and a group contract issued by a health service corporation, a health maintenance organization or a similar corporation or organization;

Terms Used In Missouri Laws 376.395

  • 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.
  • following: when used by way of reference to any section of the statutes, mean the section next preceding or next following that in which the reference is made, unless some other section is expressly designated in the reference. See Missouri Laws 1.020
  • United States: includes such district and territories. See Missouri Laws 1.020

(2) “Group policyholder”, the entity purchasing the group policy from the insurer;

(3) “Individual policy” or “converted policy”, an individual health insurance policy issued by an insurance company or an individual health services contract issued by a health service corporation, a health maintenance organization or a similar corporation or organization;

(4) “Insurer”, the entity issuing a group policy or an individual or converted policy;

(5) “Medicare”, Title XVIII of the United States Social Security Act as added by the Social Security Amendments of 1965 or as later amended or superseded;

(6) “Premium”, any premium or other consideration payable for coverage under a group or individual policy.