| (1) Coverage for accident or disability income | insurance or any combination of those coverages; |
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| (2) Liability insurance, including general liability | insurance and automobile liability insurance; |
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| (3) Coverage issued as a supplement to liability | insurance; |
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| (4) Workers' compensation or similar insurance; |
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| (5) Automobile medical payment insurance; |
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| (7) Coverage for on-site medical clinics; or |
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| (8) Other similar insurance coverage, specified in | federal regulations issued pursuant to Public Law 104- | 191, under which benefits for medical care are | secondary or incidental to other insurance benefits. |
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| C. "Federally creditable coverage" does not include the | following benefits if those benefits are provided under a | separate policy, certificate or contract of insurance or are | otherwise not an integral part of the plan: |
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| (1) Limited scope dental or vision benefits; |
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| (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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