For purpose of point-of-service health care Service plan contracts, the definitions as specified shall apply. A point-of-service plan contract, in which any risk for out-of-network coverage or services is transferred from a health care service plan through reinsurance, shall be subject to this article.

Point-of-service plan contracts shall: (a) provide incentives, including financial incentives, for enrollees to use in-network coverage or services; (b) only offer coverage or services obtained out-of-network if it also provides coverage or services on an in-network basis; and (c) shall not consider health care services received from a provider not affiliated with the health care service plan when the plan arranges for the enrollee to receive services from that provider and out-of-area emergency care provided in accordance with the procedures set by the health care service plan to be followed in securing these services to be out-of-network coverage or services.