As used in sections 376.891 to 376.894, the following terms mean:

(1) “Certificate holder”, a person who receives health care benefits or services pursuant to a policy, contract or plan;

Terms Used In Missouri Laws 376.891

  • 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
  • person: may extend and be applied to bodies politic and corporate, and to partnerships and other unincorporated associations. See Missouri Laws 1.020

(2) “Plan administrator”:

(a) The person designated as the plan administrator by the instrument under which the contract or plan is operated; or

(b) If no plan administrator is designated, the plan sponsor;

(3) “Policy, contract or plan”, a group insurance policy providing health care coverage on an expense incurred basis, a group service or indemnity contract issued by a not-for-profit health services corporation, a health maintenance organization plan or a self-insured group health benefit plan of any type or description.