s.2Definitions
2
Section 2Part 0 —

Definitions

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In this Act —
means an insurer licensed under the Insurance Act, 2010 [Law 32 of 2010] as a Class “A” insurer and approved by the Commission, under section 4A(3)(a) of this Act, to provide standard health insurance contracts;
means a Caymanian as defined in the Immigration (Transition) Act (2021 Revision);
means an s who is under the age of eighteen and who is — (a) the offspring of a party, or both parties, to a marriage, civil partnership or a common law union; or (b) an individual who has been treated by a party, or both parties, to a marriage, civil partnership or common law union as a child of the family, including a step child, an adopted or foster child or a child born to parents who were not married or in a civil partnership;
has the meaning assigned by the Civil Partnership Act, 2020 [Law 35 of 2020];
has the meaning assigned by the Civil Partnership Act, 2020 [Law 35 of 2020];
means the Health Insurance Commission established under the Health Insurance Commission Act (2016 Revision);
means a person in respect of whom an employer is required to effect a standard health insurance contract under section 5;
in relation to an insured person or a prospective insured person, means a child of that person, the unemployed spouse or unemployed civil partner of that person, and any dependent offspring of that person;
in relation to an insured person, means — (a) a child of the insured person; (b) an individual who is eighteen years of age or over and who for medical or physical reasons is dependent on the insured person for shelter or care (whether or not the individual is financially independent); or (c) an individual who is eighteen years of age or over but under thirty years of age and who, for financial reasons, is dependent on the insured person for shelter or care; but “dependent offspring” does not include a grandchild of an insured person, unless the grandchild has been adopted by, or is the foster child of, the insured person;
means any individual who enters into or works under a contract of employment with an employer whether the contract be oral or written, express or implied, and the term includes a person whose services have been interrupted by a suspension of work during a period of leave or temporary lay-off;
means any person who has entered into a contract of employment with an employee, and includes any agent, representative or manager of such person who is placed in authority over an employee;
includes the George Town Hospital in Grand Cayman, the Faith Hospital in Cayman Brac and any public hospital or health care centre established or operated in the Islands by the Government, and any private hospital or medical practice approved under the Health Practice Act (2021 Revision);
means a person who has been provided with cover under the standard health insurance contract by an approved insurer but who, by reason of a medical condition or illness, may be subject to rates that exceed the standard premium;
means a person who, in the opinion of the Minister for the time being responsible for social services acting on the advice of the Director of the Department of Children and Family Services, is unable, by reason of inadequate financial resources, to pay for health insurance or medical services;
means a person appointed, pursuant to regulations made under section 25(1)(e), as inspector for the purposes of this Act;
means any person, group, or organisation for whom or for which cover is provided by an approved insurer under the terms and conditions of a contract of health insurance;
means a Caymanian or a person entitled to reside in the Islands in accordance with the Immigration (Transition) Act (2021 Revision);
means prescribed by regulations under section 25;
means the minimum benefits prescribed by regulations under section 25 to be included in the standard health insurance contract;
means a person registered to practise dentistry under the Health Practice Act (2021Revision);
means a person registered to practise medicine under the Health Practice Act (2021 Revision) and includes a registered dental practitioner;
means a person who resides in the Islands and who — (a) is a member of either the Veterans’ and Seamen’s Society of Cayman Brac and Little Cayman or of the Cayman Islands Seafarers Association; (b) first went to sea before the 1st January, 1985; and (c) was a Caymanian during the period of time when the person was at sea;
means a person over school leaving age whose earnings (otherwise than in the capacity of an employee) derive from that person’s production (in all or part) of goods or services in or from the Islands;
in relation to a person, means a legal resident who is — (a) the legal husband, wife or civil partner of that person; or (b) a person who, although not legally married to that person, or in a civil partnership with that person, lives with that person in the same household under the same domestic arrangements as a legal husband, wife or civil partner and has been so living with that person for a continuous period of five years, and any reference in this Act to marriage or civil partnership or to a married person or civil partner shall be construed, with the necessary changes being made, so as to give effect to paragraph (a) or (b), as the case may be; but where a person is judicially or otherwise separated from a legal spouse or civil partner that person shall not be considered to have any other spouse or civil partner except that legal spouse or civil partner;
means a contract issued by an approved insurer to provide insurance cover in respect of the prescribed health care benefits, being a contract that complies with the prescribed terms and conditions; and under such a contract an approved insurer shall not — (a) require a compulsorily insured person to pay for a benefit if that benefit is covered by the contract; or (b) require a compulsorily insured person to pursue third party claims before claiming under the standard health insurance contract;
means a premium charged under a standard health insurance contract for any person other than a high risk insurance person;
means the person appointed under section 6(1) of the Health Insurance Commission Act (2016 Revision), to serve as Superintendent of Health Insurance;
means — (a) dental benefits; (b) vision benefits; and (c) alternative medicine benefits;
means benefits provided to compulsorily insured persons in excess of benefits under the standard health insurance contract, including in-patient and out-patient services, routine medical examinations and tests, emergency medical services, hospital services, and other medical services specifically defined by an approved insurer;
in respect of an employer or employee, means a legal resident who is the civil partner of that employer or employee and who — (a) is not living apart from that employer or employee under a deed of separation or order of the court; (b) is not an employer or employee; and (c) is resident in the Islands, and includes a retired person;
in respect of an employer or employee, means (in the case of a male employer or employee) a female legal resident, or (in the case of a female employer or employee) a male legal resident, to whom that employer or employee is married and who — (a) is not living apart from that employer or employee under a deed of separation or order of the court; (b) is not an employer or employee; and (c) is resident in the Islands, and includes a retired person;
means a person who, by reason of a medical condition or illness, has been deemed unacceptable for cover under the standard health insurance contract by two or more approved insurers and has been certified by the Commission to be uninsurable and eligible for coverage with an approved insurer designated by the Commission;
means a person who resides in the Islands, served in any armed force before 1973 and was a Caymanian at the date of service; and
means the Cayman Islands Veterans’ Association.

Defined Terms

approved insurerCaymanianchildcivil partnercivil partnershipCommissioncompulsorily insured persondependantdependent offspringemployeeemployerhealth care facilityhigh risk insurance personindigent personinspectorinsured personlegal residentprescribedprescribed health care benefitsregistered dental practitionerregistered medical practitionerseamanself employed personspousestandard health insurance contractstandard premiumSuperintendentsupplemental health care benefitssupplemental medical benefitsunemployed civil partnerunemployed spouseuninsurable personveteranVeterans’ Association

Cross References