Source: https://www.lawserver.com/law/state/south-carolina/sc-code/south_carolina_code_title_38_chapter_74
Timestamp: 2018-10-22 14:18:45
Document Index: 623978686

Matched Legal Cases: ['§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38']

» South Carolina Code > Title 38 > Chapter 74 – Health Insurance PoolLawServer
South Carolina Code > Title 38 > Chapter 74
South Carolina Code > Title 38 > Chapter 74 – Health Insurance Pool
§ 38-74-10 Definitions
§ 38-74-20 South Carolina health insurance pool
§ 38-74-30 Eligibility for pool coverage
§ 38-74-40 Administration of pool
§ 38-74-50 Insurer’s assessment
§ 38-74-60 Major medical expense coverage
§ 38-74-70 Immunity
§ 38-74-80 Tax exemption and credits
§ 38-74-90 Director of Department of Insurance; promulgation of regulations
Terms Used In South Carolina Code > Title 38 > Chapter 74
Accident and health insurance: means insurance of human beings against death or personal injury by accident, and each insurance of human beings against sickness, ailment, and any type of physical disability resulting from accident or disease, and prepaid dental service, but not including coverages required by the Workers' Compensation Law of this State. See South Carolina Code 31-3-580
Admitted assets: means assets of an insurer considered admitted on the most recent statutory financial statement of the insurer filed with the department pursuant to Section 38-13-80. See South Carolina Code 31-3-580
Board: means the board of directors of the pool. See South Carolina Code 33-39-620
Coinsurance: means a stipulation or requirement that the insured undertakes to be his own insurer to the extent that he fails to maintain insurance of a given percentage of the value of the property against loss or damage. See South Carolina Code 31-3-580
(j) a health benefit plan under Section 5(e) of the Peace Corps Act (22 U. See South Carolina Code 33-39-620
Department: means the South Carolina Insurance Department. See South Carolina Code 33-39-620
Designee or deputy director: means the person or persons appointed by the director, serving at the will and pleasure of the director as his designee, to supervise and carry out the functions and duties of the department as provided by law. See South Carolina Code 31-3-580
Director: means the person who is appointed by the Governor upon the advice and consent of the Senate and who is responsible for the operation and management of the Department of Insurance, including all of its divisions. See South Carolina Code 33-39-620
(f) who, if the individual elected the continuation coverage, has exhausted the continuation coverage under the provision or program. See South Carolina Code 33-39-620
(k) if offered as a separate insurance policy, coverage supplement to the coverage provided under Chapter 55, Title 10 of the United States Code. See South Carolina Code 33-39-620
Hospital: means an institution operated pursuant to law under the supervision of a staff of duly licensed physicians which is primarily and continuously engaged in providing or operating, either on its premises or in facilities available to the public on a prearranged basis, medical, diagnostic, and major surgical facilities for the medical care and treatment of sick or injured persons on an inpatient basis for which a charge is made and provides twenty-four hour nursing service under the supervision of registered nurses. See South Carolina Code 33-39-620
Individual market: means the market for health insurance coverage offered to individuals other than in connection with a group health plan. See South Carolina Code 33-39-620
Insured: means any individual resident of this State who is eligible to receive benefits from any insurer. See South Carolina Code 33-39-620
Insurer: means any entity that provides health insurance in this State. See South Carolina Code 33-39-620
Medicare: means Title XVIII of the Social Security Act, 42 U. See South Carolina Code 33-39-620
Member: means each insurer participating in the pool. See South Carolina Code 33-39-620
Net loss: means the excess of incurred claims plus expenses over the sum of earned premiums, accrued investment income, and other appropriate gains and losses. See South Carolina Code 33-39-620
Plan of operation: means the plan of operation of the pool, including articles, bylaws, and operating rules adopted by the board. See South Carolina Code 33-39-620
Pool: means the South Carolina Health Insurance Pool. See South Carolina Code 33-39-620
Preexisting condition exclusion: means , with respect to coverage, a limitation or exclusion of benefits relating to a condition based on the fact that the condition was present before the date of enrollment for the coverage, whether or not any medical advice, diagnosis, care, or treatment was recommended or received before the date. See South Carolina Code 33-39-620
Qualified TAA eligible individual: means an individual who is eligible for the credit for health insurance costs under Section 35 of the Internal Revenue Code of 1986. See South Carolina Code 33-39-620
Waiting period: means , with respect to a group health plan and an individual who is a potential participant or beneficiary in the plan, the period that must pass with respect to the individual before the individual is eligible to be covered for benefits under the terms of the plan. See South Carolina Code 33-39-620