Current through L. 2024, ch. 259
Section 20-3112 - ApplicabilityThis article does not apply to:
1. Health care services that are not covered by the enrollee's health plan.2. Limited benefit coverage as defined in section 20-1137.3. Charges for health care services that are subject to a direct payment agreement under section 32-3216 or 36-437.4. Health plans that do not include coverage for out-of-network health care services, unless otherwise required by law.5. State health and accident coverage for full-time officers and employees of this state and their dependents that is provided pursuant to title 38, chapter 4, article 4.6. A self-funded or self-insured employee benefit plan if the regulation of that plan is preempted by the employee retirement income security act of 1974 (P.L. 93-406; 88 Stat. 829; 29 United States Code section 1144(b)).Amended by L. 2018, ch. 272,s. 2, eff. 12/31/2018.Added by L. 2017, ch. 190,s. 3, eff. 12/31/2018.