California Insurance Code CHAPTER 2 - Definitions

Section 12693.01.
For purposes of this part, the definitions contained in this chapter shall govern the construction of this part, unless the context requires otherwise.(Added by Stats....
Section 12693.02.
(a) “Applicant” means a person over the age of 18 years who is a natural or adoptive parent; a legal guardian; or a caretaker relative, foster...
Section 12693.03.
“Board” means the Managed Risk Medical Insurance Board.(Added by Stats. 1997, Ch. 623, Sec. 2. Effective January 1, 1998.)
Section 12693.04.
“Child” means a person who is under 19 years of age who is eligible for the program pursuant to Chapter 9 (commencing with Section 12693.70).(Added...
Section 12693.045.
“Community provider plan” means that participating health plan in each geographic area that has been designated by the board as having the highest percentage of...
Section 12693.05.
“County organized health system” means a health care organization that contracts with the State Department of Health Services to provide comprehensive health care to all...
Section 12693.06.
“Family contribution” means the cost to an applicant to enable herself or himself or an eligible child or children to enroll in and participate in...
Section 12693.065.
“Family value package” means the combination of participating health, dental, and vision plans available to subscribers in each geographic area offering the lowest prices to...
Section 12693.07.
“Fund” means the Healthy Families Fund.(Added by Stats. 1997, Ch. 623, Sec. 2. Effective January 1, 1998.)
Section 12693.08.
“Local initiative” means a prepaid health plan that is organized by, or designated by, a county government or county governments, or organized by stakeholders, of...
Section 12693.09.
“Participating dental plan” means any of the following plans that is lawfully engaged in providing, arranging, paying for, or reimbursing the cost of personal dental...
Section 12693.10.
“Participating health plan” means any of the following plans that is lawfully engaged in providing, arranging, paying for, or reimbursing the cost of personal health...
Section 12693.105.
A health care service plan, as defined in subdivision (b) of Section 12693.10, shall include a plan operating as a geographic managed care plan.(Added by...
Section 12693.11.
“Participating vision care plan” means any of the following plans that is lawfully engaged in providing, arranging, paying for, or reimbursing the cost of personal...
Section 12693.12.
“Program” means the Healthy Families Program, which includes a purchasing pool providing health coverage for children in families without access to affordable employer based dependent...
Section 12693.13.
“Purchasing credit member” means an applicant 18 years of age or a child who is eligible for and participates in the purchasing credit component of...
Section 12693.14.
“Subscriber” means an applicant 18 years of age or a child who is eligible for and participates in the purchasing pool component of the program.(Added...
Section 12693.15.
“Supplemental coverage” means coverage purchased by the program from (a) a private health insurer holding a valid outstanding certificate of authority from the Insurance Commissioner,...
Section 12693.16.
“Geographic managed care plan” means an entity that is operating pursuant to a contract entered into under Article 2.91 (commencing with Section 14089) of Chapter...
Section 12693.17.
“Family contribution sponsor” means a person or entity that pays the family contribution on behalf of an applicant for any period of 12 consecutive months...

Last modified: October 22, 2018