proper disclosure and transparency of addiction services covered
by policies issued to policy holders.
§ 3702. Definitions.
The following words and phrases when used in this chapter
shall have the meanings given to them in this section unless the
context clearly indicates otherwise:
"Department." The Insurance Department of the Commonwealth.
" Insurer. " An entity that issues or administers health
insurance policies or health plans and is subject to the
jurisdiction of the department. The term includes an entity
organized or existing under, or subject to, any of the
following:
(1) The act of May 17, 1921 (P.L.682, No.284), known as
The Insurance Company Law of 1921.
(2) The act of December 29, 1972 (P.L.1701, No.364),
known as the Health Maintenance Organization Act.
(3) The act of May 18, 1976 (P.L.123, No.54), known as
the Individual Accident and Sickness Insurance Minimum
Standards Act.
(4) Chapter 61 (relating to hospital plan corporations)
or 63 (relating to professional health services plan
corporations).
§ 3703. Emergency addendum.
(a) Explanation of coverage.--The department shall direct
each insurer to provide its members and insureds with an
emergency addendum explaining the coverage for addiction
treatment services covered under the policy or plan.
(b) Requirement for emergency addendum.--An emergency
addendum issued under this chapter shall be no more than two
pages and contain language that is nontechnical and readily
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