Definitions

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As used in this subchapter:

  1. (1) “Craniofacial anomaly” means a congenital or acquired musculoskeletal disorder that primarily affects the cranial facial tissue;

  2. (2)

    1. (A) “Health benefit plan” means an individual, blanket, or any group plan, policy, or contract for healthcare services issued or delivered in this state by a healthcare insurer, health maintenance organization, hospital medical service corporation, or self-insured governmental or church plan in this state.

    2. (B) “Health benefit plan” includes:

      1. (i) Indemnity and managed care plans; and

      2. (ii) Plans providing health benefits to state and public school employees under § 21-5-401 et seq.

    3. (C) “Health benefit plan” does not include:

      1. (i) A disability income plan;

      2. (ii) A credit insurance plan;

      3. (iii) Insurance coverage issued as a supplement to liability insurance;

      4. (iv) Medical payments under an automobile or homeowners' insurance plan;

      5. (v) A health benefit plan provided under Arkansas Constitution, Article 5, § 32, the Workers' Compensation Law, § 11-9-101 et seq., and the Public Employee Workers' Compensation Act, § 21-5-601 et seq.;

      6. (vi) A plan that provides only indemnity for hospital confinement;

      7. (vii) An accident-only plan; or

      8. (viii) A specified disease plan; and

  3. (3) “Reconstructive surgery” means the use of surgery to alter the form and function of the cranial facial tissues due to a congenital or acquired musculoskeletal disorder.


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