{"data":{"id":"us-mt/33-22-241","jurisdiction":"us-mt","citation":"33-22-241","heading":"Definitions.","body":"As used in 33-22-242 and 33-22-243, unless the context indicates otherwise, the following definitions apply:\n(1) \"Block of business\" means an individual disability insurance policy certificate or contract filed and approved by the commissioner pursuant to 33-1-501 and written and sold by a health care insurer to a defined set of individuals. All individuals covered by the policy or contract are considered to be within the block of business.\n(2) \"Health care insurer\" means a disability insurer, a health service corporation, a health maintenance organization, or a fraternal benefit society.\n(3) (a) \"Individual health benefit plan\" means any hospital or medical expense policy or certificate, subscriber contract, or contract of insurance provided by a prepaid hospital or medical service plan or health maintenance organization subscriber contract and issued for delivery to an individual.\n(b) Individual health benefit plan does not include a self-funded group health plan; a self-funded multiemployer group health plan; a group conversion plan; an insured group health plan; accident-only, specified disease, short-term hospital or medical, hospital confinement indemnity, credit, dental, vision, medicare supplement, long-term care, or disability income insurance; coverage issued as a supplement to liability insurance; workers' compensation or similar insurance; or automobile medical payment insurance.\n(4) \"Qualifying previous coverage\" means benefits or coverage provided under:\n(a) medicare or medicaid;\n(b) group health insurance or a health benefit plan that provides benefits similar to or exceeding benefits provided under the plan being applied for; or\n(c) an individual health benefit plan, including coverage issued by a health maintenance organization, a prepaid hospital or medical care plan, or a fraternal benefit society, that provides benefits similar to or exceeding the plan being applied for.","path":["TITLE 33. INSURANCE AND INSURANCE COMPANIES","CHAPTER 22. DISABILITY INSURANCE","Part 2. Individual Policy Requirements"],"source_url":"https://mca.legmt.gov/bills/mca/title_0330/chapter_0220/part_0020/section_0410/0330-0220-0020-0410.html","current_through":"Montana Code Annotated 2025","vintage":"","retrieved_at":"2026-09-14T04:52:44Z","sha256":"2aa1b612e83e500be7d0cc69dc32f405e7ecd1c1b8c9fa6e44058afe37066882","source_id":"us-mt","stale":false,"prev":"us-mt/33-22-233","next":"us-mt/33-22-242"},"notice":"GroundRules: Original legal text. Not legal advice."}