CHAPTER 2. Definitions [12693.01. - 12693.17.]
Chapter 2 added by Stats. 1997, Ch. 623, Sec. 2.
§§ 12693.01–12693.17 · 20 sections
- § 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.
- § 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 parent, or…
- § 12693.03 “Board” means the Managed Risk Medical Insurance Board.
- § 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).
- § 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…
- § 12693.05 “County organized health system” means a health care organization that contracts with the State Department of Health Services to provide comprehensive health…
- § 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 the program.…
- § 12693.065 “Family value package” means the combination of participating health, dental, and vision plans available to subscribers in each geographic area offering the…
- § 12693.07 “Fund” means the Healthy Families Fund.
- § 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,…
- § 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…
- § 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…
- § 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.
- § 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…
- § 12693.12 “Program” means the Healthy Families Program, which includes a purchasing pool providing health coverage for children in families without access to affordable…
- § 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 the program.
- § 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.
- § 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…
- § 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…
- § 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 and,…