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58-18-44 "Creditable coverage" defined.
     58-18-44.   "Creditable coverage" defined. For the purposes of this chapter, creditable coverage are benefits or coverage provided under:
             (1)      Medicare or medicaid;
             (2)      An employer-based health insurance plan or health benefit arrangement that provides benefits similar to or exceeding benefits provided under a health benefit plan;
             (3)      An individual health insurance policy including coverage issued by a health maintenance organization, a fraternal benefit society, a nonprofit medical and surgical plan, a nonprofit hospital service plan that provides benefits similar to or exceeding the benefits provided under the basic plan pursuant to chapter 58-18B, or an employee welfare benefit plan as defined in section 3(1) of the Employee Retirement Income Security Act of 1974 as adopted by the director pursuant to chapter 1-26, to the extent that the plan provides directly or through insurance, reimbursement or otherwise to employees or their dependents medical care for the diagnosis, cure, mitigation, treatment, or prevention of disease, or amounts paid for the purpose of affecting any structure or function of the body and amounts paid for the transportation primarily for and essential to medical care;
             (4)      Chapter 55 of Title 10, United States Code;
             (5)      A medical care program of the Indian Health Service or of a tribal organization;
             (6)      A state health benefits risk pool;
             (7)      A health plan offered under Chapter 89 of Title 5, United States Code;
             (8)      A public health plan;
             (9)      A health benefit plan under section 5(e) of the Peace Corps Act (22 U.S.C. 2504(e));
             (10)      A short-term limited-duration policy; or
             (11)      A college plan.

Source: SL 1994, ch 383, § 3; SL 1997, ch 289, § 8; SL 1998, ch 289, § 5.


Chapter 58-18

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