20:06:21:17Converted policy from group -- Managed care plan defined.

For the purposes of §§ 20:06:21:09 to 20:06:21:16, inclusive, a managed-care plan is a health care or assisted living arrangement designed to coordinate patient care or control costs through utilization review, case management, or use of specific provider networks.

Source: 22 SDR 97, effective December 18, 1995.