health-plan contract

(1) (A) The term “health-plan contract” means an insurance policy or contract, medical or hospital service agreement, membership or subscription contract, or similar arrangement, under which health services for individuals are provided or the expenses of such services are paid. (B) Such term does not include— (i) an insurance program described in section 1811 of the Social Security Act ( 42 U.S.C. 1395c ) or established by section 1831 of such Act ( 42 U.S.C. 1395j ); (ii) a State plan for medical assistance approved under title XIX of such Act ( 42 U.S.C. 1396 et seq.); (iii) a workers’ compensation law or plan described in subparagraph (A) of subsection (a)(2) of this section; or (iv) a program, plan, or policy under a law described in subparagraph (B) or (C) of such subsection.


38 USC § 1729(i)(1)

Scoping language

For purposes of this section
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