Excepted benefits — Definition

  1. Law
  2. Arkansas Code
  3. Public Utilities and Regulated Industries
  4. Insurance
  5. Group and Blanket Accident and Health Insurance
  6. Arkansas Health Insurance Portability and Accountability Act of 1997
  7. Excepted benefits — Definition

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For purposes of this section, the term “excepted benefits” means benefits under one (1) or more, or any combination thereof, of the following:

  1. (1) Benefits not subject to requirements:

    1. (A) Coverage only for accident or disability income insurance, or any combination thereof;

    2. (B) Coverage issued as a supplement to liability insurance;

    3. (C) Liability insurance, including general liability insurance and automobile liability insurance;

    4. (D) Workers' compensation or similar insurance;

    5. (E) Automobile medical payment insurance;

    6. (F) Credit-only insurance;

    7. (G) Coverage for on-site medical clinics;

    8. (H) Other similar insurance coverage, specified in regulations, under which benefits for medical care are secondary or incidental to other insurance benefits;

  2. (2) Benefits not subject to requirements if offered separately:

    1. (A) Limited scope dental or vision benefits;

    2. (B) Benefits for long-term care, nursing home care, home health care, community-based care, or any combination thereof;

    3. (C) Such other similar, limited benefits as specified in rules;

  3. (3) Benefits not subject to requirements if offered as independent, noncoordinated benefits:

    1. (A) Coverage only for a specified disease or illness; and

    2. (B) Hospital indemnity or other fixed indemnity insurance; and

  4. (4) Benefits not subject to requirements if offered as a separate insurance policy. Medicare supplemental health insurance as defined under section 1882(g)(1) of the Social Security Act, coverage supplemental to the coverage provided under United States Code Title 10, Chapter 55, and similar supplemental coverage provided to coverage under a group health plan.


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