42 C.F.R. § 433.136 Definitions.
Title 42 - Public Health
For purposes of this subpart— Private insurer means: (1) Any commercial insurance company offering health or casualty insurance to individuals or groups (including both experience-rated insurance contracts and indemnity contracts); (2) Any profit or nonprofit prepaid plan offering either medical services or full or partial payment for services included in the State plan; and (3) Any organization administering health or casualty insurance plans for professional associations, unions, fraternal groups, employer-employee benefit plans, and any similar organization offering these payments or services, including self-insured and self-funded plans. Third party means any individual, entity or program that is or may be liable to pay all or part of the expenditures for medical assistance furnished under a State plan. Title IV-D agency means the organizational unit in the State that has the responsibility for administering or supervising the administration of a State plan for child support enforcement under title IV-D of the Act. [49 FR 8984, Feb. 11, 1980, as amended at 50 FR 46664, Nov. 12, 1985; 50 FR 49389, Dec. 2, 1985]
Title 42: Public Health
PART 433—STATE FISCAL ADMINISTRATION
Subpart D—Third Party Liability
§ 433.136 Definitions.
