| (50) Subscriber--For conversion or individual coverage,
the individual who is the contract holder and is responsible for payment
of premiums to the HMO. For group coverage, the individual who is
the certificate holder and whose employment or other membership status,
except for family dependency, is the basis for eligibility for enrollment
in the HMO.
(51) Subsidiary--As defined in §7.202 of this
title.
(52) Telehealth service--As defined in Government Code
§531.001 (concerning Definitions).
(53) Telemedicine medical service--As defined in Government
Code §531.001.
(54) Urgent care--Health care services provided in
a situation other than an emergency that are typically provided in
a setting such as a physician or individual provider's office or urgent
care center, as a result of an acute injury or illness that is severe
or painful enough to lead a prudent layperson, possessing an average
knowledge of medicine and health, to believe that his or her condition,
illness, or injury is of such a nature that failure to obtain treatment
within a reasonable time would result in serious deterioration of
the condition of his or her health.
(55) Utilization review--As defined in Insurance Code
§4201.002 (concerning Definitions).
(56) Utilization review agent or URA--As defined in
Insurance Code §4201.002.
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