Sec. 21.54.160. “Excepted benefits” defined.

307 words·~1 min read·/ak/title-21/chapter-54/21-54-160

A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

“Excepted benefits” means benefits under one or more or any combination of the following:

(1)benefits under

(A)coverage only for accident, disability income insurance, or both;

(B)coverage issued as a supplement to liability insurance;

(C)liability insurance, including general liability insurance and automobile liability insurance;

(D)workers' compensation or substantially similar insurance;

(E)automobile medical payment insurance;

(F)credit-only insurance;

(G)coverage for on-site medical clinics; or

(H)other similar insurance coverage, as specified in federal law, under which benefits for medical care are secondary or incidental to other insurance benefits;

(2)if offered as a separate insurance policy and otherwise not an integral part of a health care insurance plan, benefits under

(A)limited scope dental or vision coverage;

(B)coverage for long-term care, nursing home care, home health care, community-based care, or any combination; or

(C)other similar limited benefits as specified in federal law;

(3)if offered as independent noncoordinated benefits, benefits under coverage only for a specified disease or illness, or hospital indemnity or other fixed indemnity insurance; as used in this paragraph, “independent, noncoordinated benefits” means benefits that are provided under a separate policy if

(A)there is no coordination between the provision of the benefits and an exclusion of benefits under a health care insurance plan maintained by the same plan sponsor; and

(B)the benefits are paid with respect to an event without regard to whether benefits are provided for the event under a health care insurance plan maintained by the same plan sponsor;

(4)if offered as a separate insurance policy, benefits under

(A)Medicare supplemental policy as defined in 42 U.S.C. 1395ss(g)(1) (Social Security Act);

(B)coverage supplemental to the coverage provided under 10 U.S.C. 1071 — 1090; or

(C)similar supplemental coverage provided to coverage under a health benefit plan.