(1) Except as provided in subsection (2) of this section, the Health Carrier External Review Act shall apply to all health carriers.

Terms Used In Nebraska Statutes 44-1304

  • United States: shall include territories, outlying possessions, and the District of Columbia. See Nebraska Statutes 49-801

(2)(a) The act shall not apply to a policy or certificate that provides coverage for:

(i) A specified disease, specified accident, or accident-only coverage;

(ii) Credit;

(iii) Dental;

(iv) Disability income;

(v) Hospital indemnity;

(vi) Long-term care insurance as defined in section 44-4509 ;

(vii) Vision care; or

(viii) Any other limited supplemental benefit.

(b) The act shall not apply to:

(i) A medicare supplement policy of insurance as defined in section 44-3602 ;

(ii) Coverage under a plan through medicare, medicaid, or the Federal Employees Health Benefits Program;

(iii) Any coverage issued under Chapter 55 of Title 10 of the United States Code and any coverage issued as a supplement to that coverage;

(iv) Any coverage issued as supplemental to liability insurance;

(v) Workers’ compensation or similar insurance;

(vi) Automobile medical-payment insurance; or

(vii) Any insurance under which benefits are payable with or without regard to fault, whether written on a group blanket or individual basis.