(C) (I) "Health insurance policy" means a group or
individual health or sickness or accident insurance policy,
subscriber contract or certificate issued by an entity subject
to any one of the following:
(a) The act of May 17, 1921 (P.L.682, No.284), known as "The
Insurance Company Law of 1921," including section 630 and
Article XXIV of that act.
(b) The act of December 29, 1972 (P.L.1701, No.364), known
as the "Health Maintenance Organization Act."
(c) 40 Pa.C.S. Ch. 61 (relating to hospital plan
corporations) or 63 (relating to professional health services
plan corporations).
(II) The term does not include accident only, fixed
indemnity, limited benefit, credit, dental, vision, specified
disease, Medicare supplement, Civilian Health and Medical
Program of the Uniformed Services (CHAMPUS) supplement, long-
term care or disability income, workers' compensation or
automobile medical payment insurance.
(D) "Health insurer" means an entity licensed by the
department with accident and health authority to issue a policy,
subscriber contract, certificate or plan that provides medical
or health care coverage that is offered or governed under any of
the following:
(I) "The Insurance Company Law of 1921," including section
630 and Article XXIV of that act.
(II) The "Health Maintenance Organization Act."
(III) 40 Pa.C.S. Ch. 61 or 63.
(E) "Insured" means a person who receives coverage under a
health insurance policy and has paid all premiums due under the
contract or policy. As used in this paragraph, the term shall
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