Section 304.17C-130 - Definitions for KRS 304.17C-130 to 304.17C-138As used in KRS 304.17C-130 to 304.17C-138:
(1) "Covered person" means an individual who is covered by a dental benefit plan;(2) "Dental benefit plan" means a limited health service benefit plan that provides coverage for dental services;(3) "Dental carrier" means a health insurer that provides coverage for dental services;(4) "Dental services": (a) Means services for the diagnosis, prevention, treatment, or cure of a dental condition, illness, injury, or disease; and(b) Does not include services delivered by a provider that are billed as medical expenses under a health insurance plan;(5) "Dentist" means any dentist licensed or otherwise authorized in this state to furnish dental services;(6) "Health insurer" means any insurance company, health maintenance organization, self-insurer or multiple employer welfare arrangement not exempt from state regulation by ERISA, provider-sponsored integrated health delivery network, self-insured employer-organized association, nonprofit hospital, medical-surgical, dental, and health service corporation, or limited health service organization authorized to transact health insurance business in Kentucky; and(7) "Provider": (a) Means an individual or entity, acting within the scope of the individual or entity's licensure or certification, that provides dental services or supplies defined by the dental benefit plan; and(b) Does not include a physician organization or physician hospital organization that leases or rents its network to a third party.Added by 2022 Ky. Acts ch. 48,§ 1, eff. 7/13/2022.