Section 21.54.160. "Excepted benefits" defined.

"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.

Authorities

21.42.599;21.61.106

Notes

References

AS 21.42.599 Definitions.
AS 21.61.106 Other provisions applicable.

History

(Sec. 59 ch 81 SLA 1997; am Sec. 6 ch 22 SLA 2001)