Applicability and Scope

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  1. Except as otherwise specified, this chapter shall apply to all health carriers.
  2. This chapter shall not apply to a policy or certificate that provides:
    1. Coverage only for a specified disease, specified accident or accident-only coverage, credit, dental, disability income, hospital indemnity, long-term care insurance, as defined by § 56-42-103, vision care or any other limited supplemental benefit or to a medicare supplement policy of insurance as defined by the commissioner;
    2. Coverage under a plan through medicare, medicaid or the federal employees health benefits program (FEHB);
    3. Any coverage issued under 10 U.S.C. § 1072 and any coverage issued as supplement to that coverage;
    4. Any coverage issued as supplemental to liability insurance; workers' compensation or similar insurance; automobile medical-payment insurance or any insurance under which benefits are payable without regard to fault; whether written on a group blanket or individual basis; or
    5. Any plan exempt from regulation under this title due to the Employee Retirement Income Security Act of 1974 (ERISA) (29 U.S.C. § 1144).


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