PENNSYLVANIA, October 27 - by a health care facility or health care provider that is

offered by a health insurer.

(2) The term includes an individual or group health

insurance policy, contract or plan that provides dental or

vision coverage through a provider network.

(3) Except as provided under paragraph (2), the term

does not include accident only, fixed indemnity, limited

benefit, credit, dental, vision, specified disease, Medicare

supplement, Civilian Health and Medical Program of the

Uniformed Services (CHAMPUS) supplement, long-term care or

disability income, workers' compensation or automobile

medical payment insurance.

"Health Insurance Portability and Accountability Act of

1996." The Health Insurance Portability and Accountability Act

of 1996 (Public Law 104-191, 110 Stat. 1936).

"Health insurer." An entity that holds a valid license by

the Insurance Department with accident and health authority to

issue a health insurance policy and governed under any of the

following:

(1) The act of May 17, 1921 (P.L.682, No.284), known as

The Insurance Company Law of 1921, including section 630 and

Article XXIV.

(2) The act of December 29, 1972 (P.L.1701, No.364),

known as the Health Maintenance Organization Act.

(3) 40 Pa.C.S. Ch. 61 (relating to hospital plan

corporations).

(4) 40 Pa.C.S. Ch. 63 (relating to professional health

services plan corporations).

"Licensure board." Each licensing board within the Bureau of

Professional and Occupational Affairs of the Department of State

20210SB0705PN0949 - 3 -

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