044-65 Wyo. Code R. §§ 65-4 - Definitions

(a) As used in this regulation:

(i) Domicile state means the state that originally approved for sale the health insurance policies that the insurer intends to sell in Wyoming pursuant to W. S. 26-18-301, et seq.

(ii) Essential community provider means a provider that serves predominantly low-income or medically underserved individuals.

(iii) Health insurance means individual disability policies, small group disability policies, or high deductible health policies as defined by W.S. § 26-1-102(a)(xxxiii).

(iv) Out-of-state health insurance policy means a plan sold pursuant to W.S. § 26-18-301, et seq. by a Wyoming licensed insurer that has been approved for sale in another state.

(v) Provider network means the facilities, providers, and supplier the insurer has contracted with to provide health care services.

(vi) SERFF means the system for electronic rate and form filing as developed and implemented by the National Association of Insurance Commissioners.

(vii) Wyoming mandated benefits means benefits required for individual and group plans including adult wellness benefits pursuant to W.S. § 26-18-103(b) and W.S. § 26-19-107(h); mandated coverage pursuant to W.S. § 26-20-101, W.S. § 26-20-201, W.S. § 26-20-301, and W.S. § 26-20-401; for group plans only, public health screenings pursuant to W.S. § 26-19-107(j); and any other benefits mandated in Wyoming by statute after the date of adoption of this regulation.

Notes

044-65 Wyo. Code R. §§ 65-4

Adopted, Eff. 1/8/2015.