SEC. 706. DEFINITIONS.
Title[ Title I\Subtitle A\Sec. 101 Contents
<<NOTE: 29 USC 1186.>>
``(a) Group Health Plan.--For purposes of this part--
``(1) In general.--The term `group health plan' means an
employee welfare benefit plan to the extent that the plan
provides medical care (as defined in paragraph (2) and including
items and services paid for as medical care) to employees or
their dependents (as defined under the terms of the plan)
directly or through insurance, reimbursement, or otherwise.
``(2) Medical care.--The term `medical care' means amounts
paid for--
``(A) the diagnosis, cure, mitigation, treatment, or
prevention of disease, or amounts paid for the purpose
of affecting any structure or function of the body,
``(B) amounts paid for transportation primarily for
and essential to medical care referred to in
subparagraph (A), and
``(C) amounts paid for insurance covering medical
care referred to in subparagraphs (A) and (B).
``(b) Definitions Relating to Health Insurance.--For purposes of
this part--
``(1) Health insurance coverage.--The term `health insurance
coverage' means benefits consisting of medical care (provided
directly, through insurance or reimbursement, or otherwise and
including items and services paid for as medical care) under any
hospital or medical service policy or certificate, hospital or
medical service plan contract, or health maintenance
organization contract offered by a health insurance issuer.
``(2) Health insurance issuer.--The term `health insurance
issuer' means an insurance company, insurance service, or
insurance organization (including a health maintenance
organization, as defined in paragraph (3)) which is licensed to
engage in the business of insurance in a State and which is
subject to State law which regulates insurance (within the
meaning of section 514(b)(2)). Such term does not include a
group health plan.
``(3) Health maintenance organization.--The term `health
maintenance organization' means--
``(A) a federally qualified health maintenance
organization (as defined in section 1301(a) of the
Public Health Service Act (42 U.S.C. 300e(a))),
``(B) an organization recognized under State law as
a health maintenance organization, or
``(C) a similar organization regulated under State
law for solvency in the same manner and to the same
extent as such a health maintenance organization.
``(4) Group health insurance coverage.--The term `group
health insurance coverage' means, in connection with a group
health plan, health insurance coverage offered in connection
with such plan.
``(c) Excepted Benefits.--For purposes of this part, the term
`excepted benefits' means benefits under one or more (or any combination
thereof) of the following:
``(1) Benefits not subject to requirements.--
``(A) Coverage only for accident, or disability
income insurance, or any combination thereof.
``(B) Coverage issued as a supplement to liability
insurance.
``(C) Liability insurance, including general
liability insurance and automobile liability insurance.
``(D) Workers' compensation or similar insurance.
``(E) Automobile medical payment insurance.
``(F) Credit-only insurance.
``(G) Coverage for on-site medical clinics.
``(H) Other similar insurance coverage, specified in
regulations, under which benefits for medical care are
secondary or incidental to other insurance benefits.
``(2) Benefits not subject to requirements if offered
separately.--
``(A) Limited scope dental or vision benefits.
``(B) Benefits for long-term care, nursing home
care, home health care, community-based care, or any
combination thereof.
``(C) Such other similar, limited benefits as are
specified in regulations.
``(3) Benefits not subject to requirements if offered as
independent, noncoordinated benefits.--
``(A) Coverage only for a specified disease or
illness.
``(B) Hospital indemnity or other fixed indemnity
insurance.
``(4) Benefits not subject to requirements if offered as
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 chapter 55 of title 10, United States Code, and similar
supplemental coverage provided to coverage under a group health
plan.
``(d) Other Definitions.--For purposes of this part--
``(1) COBRA continuation provision.--The term `COBRA
continuation provision' means any of the following:
``(A) Part 6 of this subtitle.
``(B) Section 4980B of the Internal Revenue Code of
1986, other than subsection (f)(1) of such section
insofar as it relates to pediatric vaccines.
``(C) Title XXII of the Public Health Service Act.
``(2) Health status-related factor.--The term `health
status-related factor' means any of the factors described in
section 702(a)(1).
``(3) Network plan.--The term `network plan' means health
insurance coverage offered by a health insurance issuer under
which the financing and delivery of medical care (including
items and services paid for as medical care) are provided, in
whole or in part, through a defined set of providers under
contract with the issuer.
``(4) Placed for adoption.--The term `placement', or being
`placed', for adoption, has the meaning given such term in
section 609(c)(3)(B)
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