Definitions.

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  • (1) "Covered benefit" or "benefit" means the health care services to which a covered person is entitled under the terms of a health care insurance plan offered by a managed care organization.
  • (2) "Managed care organization" means:
    • (a) a managed care organization as that term is defined in Section 31A-1-301; and
    • (b) a third party administrator as that term is defined in Section 31A-1-301.




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