58-1-21. "Health benefit plan" defined for purposes of §§ 58-1-19 to 58-1-23.
180 words·~1 min read·
/sd/title-58/chapter-58-1/58-1-21·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
As used in §§ 58-1-19 to 58-1-23 , inclusive, the term, health benefit plan, means an accident and health insurance policy or certificate; a nonprofit hospital or medical service corporation contract; a health maintenance organization subscriber contract; a plan provided by a multiple employer welfare arrangement; or a plan provided by another benefit arrangement, to the extent permitted by the Employee Retirement Income Security Act of 1974, as amended to January 1, 2001, or by any waiver of or other exception to that act provided under federal law or regulation. The term does not apply to any plan, policy, or contract that provides coverage only for:
(1)Accident;
(2)Credit;
(3)Disability income;
(4)Specified disease;
(5)Dental;
(6)Vision;
(7)Coverage issued as a supplement to liability insurance;
(8)Medical payments under automobile or homeowners;
(9)Insurance under which benefits are payable with or without regard to fault and that is statutorily required to be contained in any liability policy or equivalent self - insurance;
(10)Hospital income or indemnity;
(11)Long - term care; and
(12)Medicare supplement.