| | | (2) Benefits for long-term care, nursing home care, | | home health care, community-based care or any | | combination of those benefits; and |
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| | | (3) Other similar, limited benefits as specified in | | federal regulations issued pursuant to Public Law 104- | | 191. |
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| | | D. "Federally creditable coverage" does not include the | | following benefits if the benefits are provided under a | | separate policy, certificate or contract of insurance, and | | if no coordination exists between the provision of the | | benefits and any exclusion of benefits under a group health | | plan maintained by the same plan sponsor and those benefits | | are paid for an event without regard to whether benefits are | | provided for that event under a group health plan maintained | | by the same plan sponsor: |
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| | | (1) Coverage only for a specified disease or illness; | | and |
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| | | (2) Hospital indemnity or other fixed indemnity | | insurance. |
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| | | E. "Federally creditable coverage" does not include the | | following if it is offered as a separate policy, certificate | | or contract of insurance: |
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| | | (1) Medicare supplemental health insurance under the | | Social Security Act, Section 1882(g)(1); |
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| | | (2) Coverage supplemental to the coverage provided | | under the Civilian Health and Medical Program of the | | Uniformed Services, CHAMPUS, 10 United States Code, | | Chapter 55; and |
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| | | (3) Similar supplemental coverage under a group health | | plan. |
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| | | For purposes of this subsection, a "period of continuing | | federally creditable coverage" means a period in which an | | individual has maintained federally creditable coverage through | | one or more plans or programs, with no break in coverage | | exceeding 63 days. In calculating the aggregate length of a | | period of continuing federally creditable coverage that includes | | one or more breaks in coverage, only the time actually covered is | | counted. A waiting period is not counted as a break in coverage | if, but is not counted as a period of actual coverage unless the | | individual has other federally creditable coverage during this | | period. For purposes of this subsection and subsection 1-C, |
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