17004 Federal Register / Vol. 62, No. 67 / Tuesday, April 8, 1997 / Rules and Regulations

§ 148.220 Excepted benefits.

The requirements of this part do not

apply to individual health insurance

coverage in relation to its provision of

the benefits described in paragraphs (a)

and (b) of this section (or any

combination of the benefits).

(a) Benefits excepted in all

circumstances. The following benefits

are excepted in all circumstances:

(1) Coverage only for accident

(including accidental death and

dismemberment).

(2) Disability income insurance.

(3) Liability insurance, including

general liability insurance and

automobile liability insurance.

(4) Coverage issued as a supplement

to liability insurance.

(5) Workers’ compensation or similar

insurance.

(6) Automobile medical payment

insurance.

(7) Credit-only insurance (for

example, mortgage insurance).

(8) Coverage for on-site medical

clinics.

(b) Other excepted benefits. The

requirements of this part do not apply

to individual health insurance coverage

described in paragraph (b)(1) through

(b)(6) of this section if the benefits are

provided under a separate policy,

certificate, or contract of insurance.

These benefits include the following:

(1) Limited scope dental or vision

benefits. These benefits are dental or

vision benefits that are limited in scope

to a narrow range or type of benefits that

are generally excluded from benefit

packages that combine hospital,

medical, and surgical benefits.

(2) Long-term care benefits. These

benefits are benefits that are either—

(i) Subject to State long-term care

insurance laws;

(ii) For qualified long-term care

insurance services, as defined in section

7702B(c)(1) of the Code, or provided

under a qualified long-term care

insurance contract, as defined in section

7702B(b) of the Code; or

(iii) Based on cognitive impairment or

a loss of functional capacity that is

expected to be chronic.

(3) Coverage only for a specified

disease or illness (for example, cancer

policies), or hospital indemnity or other

fixed indemnity insurance (for example,

$100/day) if the policies meet the

requirements of 45 CFR

146.145(b)(4)(ii)(B) and (b)(4)(ii)(C)

regarding noncoordination of benefits.

(4) Medicare supplemental health

insurance (as defined under section

1882(g)(1) of the Social Security Act. 42

U.S.C. 1395ss, also known as Medigap

or MedSup insurance).

(5) Coverage supplemental to the

coverage provided under Chapter 55,

Title 10 of the United States Code (also

known as CHAMPUS supplemental

programs).

(6) Similar supplemental coverage

provided to coverage under a group

health plan.

Authority: Secs. 2741 through 2763, 2791,

and 2792 of the PHS Act, 42 U.S.C. 300gg–

41 through 300gg–63, 300gg–91, and 300gg–

91.

Dated: March 25, 1997.

Bruce C. Vladeck,

Administrator, Health Care Financing

Administration.

Dated: March 25, 1997.

Donna E. Shalala,

Secretary.

[FR Doc. 97–8217 Filed 4–1–97; 12:58 pm]

BILLING CODE 4120–01–M

DEPARTMENT OF THE TREASURY

Internal Revenue Service

26 CFR Part 54

[TD 8716]

RIN 1545–AV05

DEPARTMENT OF LABOR

Pension and Welfare Benefits

Administration

29 CFR Part 2590

RIN 1210–AA54

Interim Rules for Health Insurance

Portability for Group Health Plans

AGENCIES: Internal Revenue Service,

Department of the Treasury; Pension

and Welfare Benefits Administration,

Department of Labor.

ACTION: Interim rules: Correction.

SUMMARY: This document contains a

correction regarding the preamble to the

interim rules governing access,

portability and renewability

requirements for group health plans and

issuers of health insurance coverage

offered in connection with a group

health plan that were published

elsewhere in this issue of the Federal

Register. A sentence in the preamble to

the interim rules was inadvertently

dropped. This document adds this

sentence.

EFFECTIVE DATE: June 1, 1997.

FOR FURTHER INFORMATION CONTACT:

Mark Connor, Office of Regulations and

Interpretations, Pension and Welfare

Benefits Administration, Department of

Labor, at 202–219–4377; Diane Pedulla,

Plan Benefits Security Division, Office

of the Solicitor, Department of Labor, at

202–219–4377; or Russ Weinheimer,

Internal Revenue Service, at 202–622–

4695. These are not toll-free numbers.

SUPPLEMENTARY INFORMATION: The last

sentence of the first paragraph of the

preamble to the interim rules entitled

section ‘‘M. Paperwork Reduction Act—

Department of Labor and Department of

the Treasury’’ is inadvertently missing.

This document adds this sentence to the

preamble to the interim rules. The

sentence reads ‘‘An agency may not

conduct or sponsor, and a person is not

required to respond to, a collection of

information unless it displays a valid

control number assigned by the Office of

Management and Budget’’.

Signed at Washington, DC, this 3rd day of

April, 1997.

Olena Berg,

Assistant Secretary, Pension and Welfare

Benefits Administration, U.S. Department of

Labor.

Dale D. Goode,

Federal Register Liaison, Assistant Chief

Counsel (Corporate), U.S. Department of the

Treasury.

[FR Doc. 97–8933 Filed 4–3–97; 12:49 pm]

BILLING CODE 4830–01–P, 4510–29–P

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Health Care Financing Administration

45 CFR Subtitle A

[BPD–882–CN]

[BPD–890–CN]

Interim Rules for Health Insurance

Portability for Group Health Plans and

Individual Market Health Insurance

Reform: Portability from Group to

Individual Coverage; and Federal

Rules for Access in the Individual

Market; State Alternative Mechanisms

to Federal Rules

AGENCY: Health Care Financing

Administration (HCFA), HHS.

ACTION: Interim rule; correction.

SUMMARY: Federal Register documents

97–8217 and 97–8275 in this issue

include provisions that implement the

health insurance portability,

availability, and renewability provisions

of the Health Insurance Portability and

Accountability Act of 1996.

Those documents contain a technical

error in amendments because of

differing effective dates. The rule with

the earlier effective date establishes a

new part in a subchapter established by

the rule with the later date. This

document corrects that error.

EFFECTIVE DATE: This correction is

effective on April 8, 1997.