{"data":{"id":"us-ar/ark.-code-ann.-23-99-1801","jurisdiction":"us-ar","citation":"Ark. Code Ann. § 23-99-1801","heading":"Definitions","body":"As used in this subchapter: (1) \"Enrollee\" means an individual who is entitled to receive healthcare services under the terms of a health benefit plan; (2) \"Ground ambulance services\" means services authorized and licensed by the Department of Health to provide care and transportation of patients upon the streets and highways of Arkansas; (3) \"Ground ambulance service provider\" means an entity that provides ambulance transportation and emergency medical services to a patient; (4) (A) \"Health benefit plan\" means a plan, policy, contract, certificate, agreement, or other evidence of coverage for healthcare services offered, issued, renewed, or extended in this state by a healthcare insurer. (B) \"Health benefit plan\" includes nonfederal governmental plans as defined in 29 U.S.C. § 1002(32) , as it existed on January 1, 2023. (C) \"Health benefit plan\" does not include: (i) A disability income plan; (ii) A credit insurance plan; (iii) Insurance coverage issued as a supplement to liability insurance; (iv) A medical payment under automobile or homeowners insurance plans; (v) A health benefit plan provided under Arkansas Constitution, Article 5, § 32, the Workers' Compensation Law, § 11-9-101 et seq., or the Public Employee Workers' Compensation Act, § 21-5-601 et seq.; (vi) A plan that provides only indemnity for hospital confinement; (vii) An accident-only plan; (viii) A specified disease plan; (ix) A long-term-care-only plan; (x) A dental-only plan; (xi) A vision-only plan; (xii) Medicaid; or (xiii) A state or local governmental employee plan; and (5) (A) \"Healthcare insurer\" means an entity that is subject to state insurance regulation and provides coverage for health benefits in this state. (B) \"Healthcare insurer\" includes: (i) An insurance company; (ii) A health maintenance organization; (iii) A hospital and medical service corporation; (iv) A risk-based provider organization; and (v) A sponsor of a nonfederal self-funded governmental plan. Added by Act 2023, No. 597,§ 1, eff. 8/1/2023.\n\nAs used in this subchapter:\n\n(1) \"Enrollee\" means an individual who is entitled to receive healthcare services under the terms of a health benefit plan;\n\n(2) \"Ground ambulance services\" means services authorized and licensed by the Department of Health to provide care and transportation of patients upon the streets and highways of Arkansas;\n\n(3) \"Ground ambulance service provider\" means an entity that provides ambulance transportation and emergency medical services to a patient;\n\n(4) (A) \"Health benefit plan\" means a plan, policy, contract, certificate, agreement, or other evidence of coverage for healthcare services offered, issued, renewed, or extended in this state by a healthcare insurer. (B) \"Health benefit plan\" includes nonfederal governmental plans as defined in 29 U.S.C. § 1002(32) , as it existed on January 1, 2023. (C) \"Health benefit plan\" does not include: (i) A disability income plan; (ii) A credit insurance plan; (iii) Insurance coverage issued as a supplement to liability insurance; (iv) A medical payment under automobile or homeowners insurance plans; (v) A health benefit plan provided under Arkansas Constitution, Article 5, § 32, the Workers' Compensation Law, § 11-9-101 et seq., or the Public Employee Workers' Compensation Act, § 21-5-601 et seq.; (vi) A plan that provides only indemnity for hospital confinement; (vii) An accident-only plan; (viii) A specified disease plan; (ix) A long-term-care-only plan; (x) A dental-only plan; (xi) A vision-only plan; (xii) Medicaid; or (xiii) A state or local governmental employee plan; and\n\n(A) \"Health benefit plan\" means a plan, policy, contract, certificate, agreement, or other evidence of coverage for healthcare services offered, issued, renewed, or extended in this state by a healthcare insurer.\n\n(B) \"Health benefit plan\" includes nonfederal governmental plans as defined in 29 U.S.C. § 1002(32) , as it existed on January 1, 2023.\nA state or local governmental employee plan; and\n\n(A) \"Health benefit plan\" means a plan, policy, contract, certificate, agreement, or other evidence of coverage for healthcare services offered, issued, renewed, or extended in this state by a healthcare insurer.\n\n(B) \"Health benefit plan\" includes nonfederal governmental plans as defined in 29 U.S.C. § 1002(32) , as it existed on January 1, 2023.\n\n(C) \"Health benefit plan\" does not include: (i) A disability income plan; (ii) A credit insurance plan; (iii) Insurance coverage issued as a supplement to liability insurance; (iv) A medical payment under automobile or homeowners insurance plans; (v) A health benefit plan provided under Arkansas Constitution, Article 5, § 32, the Workers' Compensation Law, § 11-9-101 et seq., or the Public Employee Workers' Compensation Act, § 21-5-601 et seq.; (vi) A plan that provides only indemnity for hospital confinement; (vii) An accident-only plan; (viii) A specified disease plan; (ix) A long-term-care-only plan; (x) A dental-only plan; (xi) A vision-only plan; (xii) Medicaid; or (xiii) A state or local governmental employee plan; and\n\n(i) A disability income plan;\n\n(ii) A credit insurance plan;\n\n(iii) Insurance coverage issued as a supplement to liability insurance;\n\n(iv) A medical payment under automobile or homeowners insurance plans;\n\n(v) A health benefit plan provided under Arkansas Constitution, Article 5, § 32, the Workers' Compensation Law, § 11-9-101 et seq., or the Public Employee Workers' Compensation Act, § 21-5-601 et seq.;\n\n(vi) A plan that provides only indemnity for hospital confinement;\n\n(vii) An accident-only plan;\n\n(viii) A specified disease plan;\n\n(ix) A long-term-care-only plan;\n\n(x) A dental-only plan;\n\n(xi) A vision-only plan;\n\n(xii) Medicaid; or\n\n(xiii) A state or local governmental employee plan; and\n\n(5) (A) \"Healthcare insurer\" means an entity that is subject to state insurance regulation and provides coverage for health benefits in this state. (B) \"Healthcare insurer\" includes: (i) An insurance company; (ii) A health maintenance organization; (iii) A hospital and medical service corporation; (iv) A risk-based provider organization; and (v) A sponsor of a nonfederal self-funded governmental plan.\n\n(A) \"Healthcare insurer\" means an entity that is subject to state insurance regulation and provides coverage for health benefits in this state.\n\n(B) \"Healthcare insurer\" includes: (i) An insurance company; (ii) A health maintenance organization; (iii) A hospital and medical service corporation; (iv) A risk-based provider organization; and (v) A sponsor of a nonfederal self-funded governmental plan.\n\n(i) An insurance company;\n\n(ii) A health maintenance organization;\n\n(iii) A hospital and medical service corporation;\n\n(iv) A risk-based provider organization; and\n\n(v) A sponsor of a nonfederal self-funded governmental plan.","path":["AR Code","Title 23","Chapter 99","Subchapter 18"],"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":"a8bc3e3d2e23dafbde468e64b4b7c14be405b65d96faca91fb9a67c9eee454aa","source_id":"us-ar","stale":false,"prev":"us-ar/ark.-code-ann.-23-99-1706","next":"us-ar/ark.-code-ann.-23-99-1802"},"notice":"GroundRules: Original legal text. Not legal advice."}