§ 44-4201 Act, how cited
§ 44-4202 Legislative purpose and intent
§ 44-4203 Definitions, where found
§ 44-4204 Agent or insurance agent, defined
§ 44-4205 Benefits plan, defined
§ 44-4206 Board, defined
§ 44-4206.01 Church plan, defined
§ 44-4206.02 Creditable coverage, defined
§ 44-4207 Department, defined
§ 44-4208 Director, defined
§ 44-4208.01 Governmental plan, defined
§ 44-4208.02 Group health plan, defined
§ 44-4209 Health insurance, defined
§ 44-4210 Insurer, defined
§ 44-4211 Medicare, defined
§ 44-4212 Member, defined
§ 44-4213 Net loss, defined
§ 44-4214 Plan of operation, defined
§ 44-4215 Pool, defined
§ 44-4215.01 Resident, defined
§ 44-4215.02 Qualified trade adjustment assistance eligible individual, defined
§ 44-4216 Comprehensive Health Insurance Pool; created; membership; board of directors
§ 44-4217 Board; pool administrator; selection
§ 44-4218 Administration of pool; submit plan of operation; procedure
§ 44-4219 Plan of operation;contents
§ 44-4220 Board; powers; enumerated
§ 44-4220.01 Review of operation; report
§ 44-4220.02 Review ofhealth care provider reimbursement rates; report; health care provider; reimbursement;other payments
§ 44-4221 Purchase pool coverage; eligibility
§ 44-4222 Purchase of pool coverage; ineligibility
§ 44-4222.01 Insurer, agent, broker, or third-partyadministrator; prohibited acts; violation; unfair trade practice
§ 44-4223 Selection of pool administrator; procedure
§ 44-4224 Pool administrator; duties
§ 44-4225 Board; report; ComprehensiveHealth Insurance Pool Distributive Fund; created; use; investment; director;funding powers
§ 44-4226 Major medical expense coverage required;considerations
§ 44-4227 Premium and standard risk rates;how determined
§ 44-4228 Pool coverage; exclusions; application for coverage; requirements
§ 44-4229 Reduction of benefits; when
§ 44-4230 Recovery of noncovered expenses; cause of action; subrogation
§ 44-4231 Pool; limitation on liability
§ 44-4232 Pool; exempt from taxation
§ 44-4233 Member; offset tax liability
§ 44-4235 Insurer; notice required

Terms Used In Nebraska Statutes > Comprehensive Health Insurance Pool Act

  • Action: shall include any proceeding in any court of this state. See Nebraska Statutes 49-801
  • Affidavit: A written statement of facts confirmed by the oath of the party making it, before a notary or officer having authority to administer oaths.
  • Agent or insurance agent: means any person licensed as an insurance agent by the department and duly appointed and authorized by an insurer to solicit applications for insurance and to discharge such other duties as may be vested in or required of the agent by the insurer. See Nebraska Statutes 44-4204
  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Answer: The formal written statement by a defendant responding to a civil complaint and setting forth the grounds for defense.
  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • Bankruptcy: Refers to statutes and judicial proceedings involving persons or businesses that cannot pay their debts and seek the assistance of the court in getting a fresh start. Under the protection of the bankruptcy court, debtors may discharge their debts, perhaps by paying a portion of each debt. Bankruptcy judges preside over these proceedings.
  • Benefits plan: means the coverages to be offered by the pool to eligible individuals meeting the requirements of section 44-4221. See Nebraska Statutes 44-4205
  • Board: means the Board of Directors of the pool. See Nebraska Statutes 44-4206
  • Church plan: means a plan as defined under 29 U. See Nebraska Statutes 44-4206.01
  • Company: shall include any corporation, partnership, limited liability company, joint-stock company, joint venture, or association. See Nebraska Statutes 49-801
  • 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 does not: include any coverage that occurs before a significant break in coverage. See Nebraska Statutes 44-4206.02
  • Department: means the Department of Insurance. See Nebraska Statutes 44-4207
  • Director: means the Director of Insurance. See Nebraska Statutes 44-4208
  • Domestic: when applied to corporations shall mean all those created by authority of this state. See Nebraska Statutes 49-801
  • 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.
  • Fraud: Intentional deception resulting in injury to another.
  • Governmental plan: means a plan as defined under 29 U. See Nebraska Statutes 44-4208.01
  • Group health plan: means an employee welfare benefit plan as defined by 29 U. See Nebraska Statutes 44-4208.02
  • Guardian: A person legally empowered and charged with the duty of taking care of and managing the property of another person who because of age, intellect, or health, is incapable of managing his (her) own affairs.
  • Health insurance: means any hospital, surgical, or medical expense-incurred policy or health maintenance organization contract. See Nebraska Statutes 44-4209
  • Insurer: means any insurance company as defined in section 44-103 or health maintenance organization as defined in section 44-32,105 authorized to transact health insurance business in the State of Nebraska. See Nebraska Statutes 44-4210
  • Interest rate: The amount paid by a borrower to a lender in exchange for the use of the lender's money for a certain period of time. Interest is paid on loans or on debt instruments, such as notes or bonds, either at regular intervals or as part of a lump sum payment when the issue matures. Source: OCC
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Medicare: means coverage under parts A and B of Title XVIII of the Social Security Act, 42 U. See Nebraska Statutes 44-4211
  • Member: means any insurer participating in the pool. See Nebraska Statutes 44-4212
  • Month: shall mean calendar month. See Nebraska Statutes 49-801
  • Net loss: means the excess of incurred claims plus expenses over the sum of written and renewed premiums and other appropriate revenue. See Nebraska Statutes 44-4213
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Person: shall include bodies politic and corporate, societies, communities, the public generally, individuals, partnerships, limited liability companies, joint-stock companies, and associations. See Nebraska Statutes 49-801
  • Person shall: include bodies politic and corporate, societies, communities, the public generally, individuals, partnerships, limited liability companies, joint-stock companies, and associations. See Nebraska Statutes 49-801
  • Plan of operation: means the plan of operation of the pool, including articles, bylaws, and operating rules, submitted by the board pursuant to section 44-4218. See Nebraska Statutes 44-4214
  • Pool: means the Comprehensive Health Insurance Pool. See Nebraska Statutes 44-4215
  • Process: shall mean a summons, subpoena, or notice to appear issued out of a court in the course of judicial proceedings. See Nebraska Statutes 49-801
  • Public law: A public bill or joint resolution that has passed both chambers and been enacted into law. Public laws have general applicability nationwide.
  • Qualified trade adjustment assistance eligible individual: shall mean an individual who is eligible for the credit for health insurance costs under section 35 of the Internal Revenue Code. See Nebraska Statutes 44-4215.02
  • Real property: Land, and all immovable fixtures erected on, growing on, or affixed to the land.
  • Recourse: An arrangement in which a bank retains, in form or in substance, any credit risk directly or indirectly associated with an asset it has sold (in accordance with generally accepted accounting principles) that exceeds a pro rata share of the bank's claim on the asset. If a bank has no claim on an asset it has sold, then the retention of any credit risk is recourse. Source: FDIC
  • Reinsurance: shall mean a contract by which an insurer procures a third party to insure it against loss or liability by reason of such original insurance. See Nebraska Statutes 44-103
  • Remainder: An interest in property that takes effect in the future at a specified time or after the occurrence of some event, such as the death of a life tenant.
  • Resident: means an individual who is legally domiciled in this state. See Nebraska Statutes 44-4215.01
  • Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.
  • State: when applied to different states of the United States shall be construed to extend to and include the District of Columbia and the several territories organized by Congress. See Nebraska Statutes 49-801
  • Trustee: A person or institution holding and administering property in trust.
  • United States: shall include territories, outlying possessions, and the District of Columbia. See Nebraska Statutes 49-801
  • Year: shall mean calendar year. See Nebraska Statutes 49-801