29 U.S.C. § 1191b
For purposes of this part-
The term "group health plan" means an employee welfare benefit plan to the extent that the plan provides medical care (as defined in paragraph (2) and including items and services paid for as medical care) to employees or their dependents (as defined under the terms of the plan) directly or through insurance, reimbursement, or otherwise. Such term shall not include any qualified small employer health reimbursement arrangement (as defined in section 9831(d)(2) of title 26).
The term "medical care" means amounts paid for-
For purposes of this part-
The term "health insurance coverage" means benefits consisting of medical care (provided directly, through insurance or reimbursement, or otherwise and including items and services paid for as medical care) under any hospital or medical service policy or certificate, hospital or medical service plan contract, or health maintenance organization contract offered by a health insurance issuer.
The term "health insurance issuer" means an insurance company, insurance service, or insurance organization (including a health maintenance organization, as defined in paragraph (3)) which is licensed to engage in the business of insurance in a State and which is subject to State law which regulates insurance (within the meaning of section 1144(b)(2) of this title). Such term does not include a group health plan.
The term "health maintenance organization" means-
The term "group health insurance coverage" means, in connection with a group health plan, health insurance coverage offered in connection with such plan.
For purposes of this part, the term "excepted benefits" means benefits under one or more (or any combination thereof) of the following:
Medicare supplemental health insurance (as defined under section 1395ss(g)(1) of title 42), coverage supplemental to the coverage provided under chapter 55 of title 10, and similar supplemental coverage provided to coverage under a group health plan.
For purposes of this part-
The term "COBRA continuation provision" means any of the following:
The term "health status-related factor" means any of the factors described in section 1182(a)(1) of this title.
The term "network plan" means health insurance coverage offered by a health insurance issuer under which the financing and delivery of medical care (including items and services paid for as medical care) are provided, in whole or in part, through a defined set of providers under contract with the issuer.
The term "placement", or being "placed", for adoption, has the meaning given such term in section 1169(c)(3)(B) of this title.
The term "family member" means, with respect to an individual-
The term "genetic information" means, with respect to any individual, information about-
Such term includes, with respect to any individual, any request for, or receipt of, genetic services, or participation in clinical research which includes genetic services, by such individual or any family member of such individual.
The term "genetic information" shall not include information about the sex or age of any individual.
The term "genetic test" means an analysis of human DNA, RNA, chromosomes, proteins, or metabolites, that detects genotypes, mutations, or chromosomal changes.
The term "genetic test" does not mean-
The term "genetic services" means-
The term "underwriting purposes" means, with respect to any group health plan, or health insurance coverage offered in connection with a group health plan-
29 U.S.C. § 1191b
EDITORIAL NOTES
REFERENCES IN TEXTThe Public Health Service Act, referred to in subsec. (d)(1)(C), is act July 1, 1944, ch. 373, 58 Stat. 682. Title XXII of the Act is classified generally to subchapter XX (§300bb-1 et seq.) of chapter 6A of Title 42, The Public Health and Welfare. For complete classification of this Act to the Code, see Short Title note set out under section 201 of Title 42 and Tables.
AMENDMENTS2016-Subsec. (a)(1). Pub. L. 114-255 inserted at end "Such term shall not include any qualified small employer health reimbursement arrangement (as defined in section 9831(d)(2) of title 26)." 2008-Subsec. (d)(5) to (9). Pub. L. 110-233 added pars. (5) to (9).
STATUTORY NOTES AND RELATED SUBSIDIARIES
EFFECTIVE DATE OF 2016 AMENDMENT Amendment by Pub. L. 114-255 applicable to plan years beginning after Dec. 31, 2016, see section 18001(b)(3) of Pub. L. 114-255 set out as a note under section 1167 of this title.
EFFECTIVE DATE OF 2008 AMENDMENT Amendment by Pub. L. 110-233 applicable with respect to group health plans for plan years beginning after the date that is one year after May 21, 2008, see section 101(f)(2) of Pub. L. 110-233 set out as a note under section 1132 of this title.
EFFECTIVE DATESection applicable with respect to group health plans for plan years beginning after June 30, 1997, except as otherwise provided, see section 101(g) of Pub. L. 104-191 set out as a note under section 1181 of this title.