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Is a Private Benefit Plan a Health Plan?
Is the plan an individual or group plan, or combination thereof, that provides, or pays for the cost of, medical care?
Yes
No
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Definitions:
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Medical Care
Amounts paid for: (A) 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 (A); and (C) amounts paid for insurance covering medical care referred to in (A) and (B). See 42 U.S.C. 300gg-91(a)(2).
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