22 GCA § 15707: Definitions.

As used in this Section, the following terms have the following meanings:

(a) Co-payment is the partial payment of medical expenses, emergency room services, or prescription drugs required by an individual who is enrolled in a group health insurance plan. For example, a co-payment for a visit to a doctor's office might be Ten Dollars ($10). Co-payments are in addition to the payment of premiums and deductible amounts.

(b) Deductible is the amount that must be paid by the insured out of pocket before benefits will be paid by the insurer.

(c) Pre-funded deductible is a deductible paid in increments during the plan year to the insurer by the insured from his or her post-tax dollars and held by the insurer to pay provided claims on behalf of the insured under the deductibles.

(d) Rebate or Refund is the amount of a payment that has been made or funded that is paid back, credited or otherwise returnable to a health insured that has completed a Wellness Program qualified under HIPAA.

(e) Premium is the payment, or one of the regular periodic payments, that a group employer and/or individual make to a health insurer to enroll in a health plan or to own an insurance policy.