44-1304. Applicability of act.

179 words·~1 min read·/ne/chapter-44/44-1304

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

(1)Except as provided in subsection

(2)of this section, the Health Carrier External Review Act shall apply to all health carriers.

(2)(a) The act shall not apply to a policy or certificate that provides coverage for:

(i)A specified disease, specified accident, or accident-only coverage;

(ii)Credit;

(iii)Dental;

(iv)Disability income;

(v)Hospital indemnity;

(vi)Long-term care insurance as defined in section 44-4509 ;

(vii)Vision care; or

(viii)Any other limited supplemental benefit.

(b)The act shall not apply to:

(i)A medicare supplement policy of insurance as defined in section 44-3602 ;

(ii)Coverage under a plan through medicare, medicaid, or the Federal Employees Health Benefits Program;

(iii)Any coverage issued under Chapter 55 of Title 10 of the United States Code and any coverage issued as a supplement to that coverage;

(iv)Any coverage issued as supplemental to liability insurance;

(v)Workers' compensation or similar insurance;

(vi)Automobile medical-payment insurance; or

(vii)Any insurance under which benefits are payable with or without regard to fault, whether written on a group blanket or individual basis.