{"data":{"id":"us-ar/ark.-code-ann.-23-79-2302","jurisdiction":"us-ar","citation":"Ark. Code Ann. § 23-79-2302","heading":"Definitions","body":"As used in this subchapter: (1) \"Cost-sharing requirement\" means a copayment, coinsurance, deductible, or annual limitation on cost sharing, including without limitation a limitation subject to the Patient Protection and Affordable Care Act, Pub. L. No. 111-148, that is required by or on behalf of an enrollee in order to receive a specific healthcare service, including a prescription drug, covered by a health benefit plan; (2) \"Enrollee\" means an individual entitled to healthcare services from a healthcare insurer; (3) (A) \"Health benefit plan\" means any individual, blanket, or group plan, policy, or contract for healthcare services issued or delivered by a healthcare insurer in this state. (B) \"Health benefit plan\" does not include: (i) Accident-only plans; (ii) Specified disease plans; (iii) Disability income plans; (iv) Plans that provide only for indemnity for hospital confinement; (v) Long-term-care-only plans that do not include pharmacy benefits; (vi) Other limited-benefit health insurance policies or plans; (vii) Health benefit plans provided under Arkansas Constitution, Article 5, § 32, the Workers' Compensation Law, § 11-9-101 et seq., and the Public Employee Workers' Compensation Act, § 21-5-601 et seq.; (viii) A plan that provides only dental benefits or eye and vision care benefits; or (ix) A program or plan authorized and funded under 42 U.S.C. § 1396a et seq.; (4) (A) \"Healthcare insurer\" means an insurance company that is subject to state law regulating insurance and offers health insurance coverage under 42 U.S.C. § 300gg-91 , as it existed on January 1, 2021, a health maintenance organization, or a hospital and medical service corporation. (B) \"Healthcare insurer\" does not include an entity that provides only dental benefits or eye and vision care benefits; (5) \"Healthcare service\" means an item or service provided to an individual for the purpose of preventing, alleviating, curing, or healing illness, injury, or physical disability; and (6) \"Person\" means a natural person, corporation, mutual company, unincorporated association, partnership, joint venture, limited liability company, trust, estate, foundation, not-for-profit corporation, unincorporated organization, government, or governmental subdivision or agency. Added by Act 2021, No. 965,§ 2, eff. 7/28/2021.\n\nAs used in this subchapter:\n\n(1) \"Cost-sharing requirement\" means a copayment, coinsurance, deductible, or annual limitation on cost sharing, including without limitation a limitation subject to the Patient Protection and Affordable Care Act, Pub. L. No. 111-148, that is required by or on behalf of an enrollee in order to receive a specific healthcare service, including a prescription drug, covered by a health benefit plan;\n\n(2) \"Enrollee\" means an individual entitled to healthcare services from a healthcare insurer;\non on cost sharing, including without limitation a limitation subject to the Patient Protection and Affordable Care Act, Pub. L. No. 111-148, that is required by or on behalf of an enrollee in order to receive a specific healthcare service, including a prescription drug, covered by a health benefit plan;\n\n(2) \"Enrollee\" means an individual entitled to healthcare services from a healthcare insurer;\n\n(3) (A) \"Health benefit plan\" means any individual, blanket, or group plan, policy, or contract for healthcare services issued or delivered by a healthcare insurer in this state. (B) \"Health benefit plan\" does not include: (i) Accident-only plans; (ii) Specified disease plans; (iii) Disability income plans; (iv) Plans that provide only for indemnity for hospital confinement; (v) Long-term-care-only plans that do not include pharmacy benefits; (vi) Other limited-benefit health insurance policies or plans; (vii) Health benefit plans provided under Arkansas Constitution, Article 5, § 32, the Workers' Compensation Law, § 11-9-101 et seq., and the Public Employee Workers' Compensation Act, § 21-5-601 et seq.; (viii) A plan that provides only dental benefits or eye and vision care benefits; or (ix) A program or plan authorized and funded under 42 U.S.C. § 1396a et seq.;\n\n(A) \"Health benefit plan\" means any individual, blanket, or group plan, policy, or contract for healthcare services issued or delivered by a healthcare insurer in this state.\n\n(B) \"Health benefit plan\" does not include: (i) Accident-only plans; (ii) Specified disease plans; (iii) Disability income plans; (iv) Plans that provide only for indemnity for hospital confinement; (v) Long-term-care-only plans that do not include pharmacy benefits; (vi) Other limited-benefit health insurance policies or plans; (vii) Health benefit plans provided under Arkansas Constitution, Article 5, § 32, the Workers' Compensation Law, § 11-9-101 et seq., and the Public Employee Workers' Compensation Act, § 21-5-601 et seq.; (viii) A plan that provides only dental benefits or eye and vision care benefits; or (ix) A program or plan authorized and funded under 42 U.S.C. § 1396a et seq.;\n\n(i) Accident-only plans;\n\n(ii) Specified disease plans;\n\n(iii) Disability income plans;\n\n(iv) Plans that provide only for indemnity for hospital confinement;\n\n(v) Long-term-care-only plans that do not include pharmacy benefits;\n\n(vi) Other limited-benefit health insurance policies or plans;\n\n(vii) Health benefit plans provided under Arkansas Constitution, Article 5, § 32, the Workers' Compensation Law, § 11-9-101 et seq., and the Public Employee Workers' Compensation Act, § 21-5-601 et seq.;\n\n(viii) A plan that provides only dental benefits or eye and vision care benefits; or\n\n(ix) A program or plan authorized and funded under 42 U.S.C. § 1396a et seq.;\n\n(4) (A) \"Healthcare insurer\" means an insurance company that is subject to state law regulating insurance and offers health insurance coverage under 42 U.S.C. § 300gg-91 , as it existed on January 1, 2021, a health maintenance organization, or a hospital and medical service corporation. (B) \"Healthcare insurer\" does not include an entity that provides only dental benefits or eye and vision care benefits;\n\n(A) \"Healthcare insurer\" means an insurance company that is subject to state law regulating insurance and offers health insurance coverage under 42 U.S.C. § 300gg-91 , as it existed on January 1, 2021, a health maintenance organization, or a hospital and medical service corporation.\n\n(B) \"Healthcare insurer\" does not include an entity that provides only dental benefits or eye and vision care benefits;\n\n(5) \"Healthcare service\" means an item or service provided to an individual for the purpose of preventing, alleviating, curing, or healing illness, injury, or physical disability; and\nary 1, 2021, a health maintenance organization, or a hospital and medical service corporation.\n\n(B) \"Healthcare insurer\" does not include an entity that provides only dental benefits or eye and vision care benefits;\n\n(5) \"Healthcare service\" means an item or service provided to an individual for the purpose of preventing, alleviating, curing, or healing illness, injury, or physical disability; and\n\n(6) \"Person\" means a natural person, corporation, mutual company, unincorporated association, partnership, joint venture, limited liability company, trust, estate, foundation, not-for-profit corporation, unincorporated organization, government, or governmental subdivision or agency.","path":["AR Code","Title 23","Chapter 79","Subchapter 23"],"source_url":"https://oss-data-us.vaquill.ai/v2026.08/us_ar_statutes.parquet","current_through":"2026-08-14","vintage":"open-us-law v2026.08, retrieved 2026-09-14","retrieved_at":"2026-09-14T18:32:41Z","sha256":"a76dd7e247a52f8464615b9ee563d957130c0d7de936a370256c2e198441a034","source_id":"us-ar","stale":false,"prev":"us-ar/ark.-code-ann.-23-79-2301","next":"us-ar/ark.-code-ann.-23-79-2303"},"notice":"GroundRules: Original legal text. Not legal advice."}
