[Code of Federal Regulations]

[Title 42, Volume 4]

[Revised as of October 1, 2006]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR433.136]



[Page 95-96]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 433_STATE FISCAL ADMINISTRATION--Table of Contents

 

                     Subpart D_Third Party Liability

 

Sec.  433.136  Definitions.



    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);



[[Page 96]]



    (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]