[§432:1-406]  Definitions.  As used in
this article:



"Health care expenditures" means
claims incurred.



"Managed hospital payment basis"
means agreements wherein the financial risk is primarily related to the degree
of utilization rather than to the cost of services.



"Member" means an individual who is
covered by a mutual benefit society.



"Net worth" means the excess of total
admitted assets over total liabilities, but the liabilities shall not include
fully subordinated debt.



"Operating expenses" means claims
adjustment, administrative, soliciting, and reinsurance allowances.



"Society" means mutual benefit
society.



"Uncovered expenditures" means the
costs to the mutual benefit society for health care services that are the
obligation of the mutual benefit society, for which a member may be liable in
the event of the mutual benefit society's insolvency, and for which no
alternative arrangements have been made that are acceptable to the
commissioner.  Uncovered expenditures do not include expenditures for services
when a provider has agreed not to bill the member even though the provider is
not paid by the mutual benefit society, or for services that are guaranteed,
insured, or assumed by a person or organization other than a mutual benefit
society. [L 1997, c 367, pt of §1]