Nebraska Statutes 44-5237.01. Creditable coverage, defined
(1) Creditable coverage shall mean, with respect to an individual, coverage of the individual under any of the following:
Terms Used In Nebraska Statutes 44-5237.01
- Affiliation period: means a period of time that must expire before health insurance coverage provided by a carrier becomes effective and during which the carrier is not required to provide benefits. See Nebraska Statutes 44-5227.01
- Creditable coverage shall not: include any coverage that occurs before a significant break in coverage. See Nebraska Statutes 44-5237.01
- Group health plan: shall mean an employee welfare benefit plan as defined by Nebraska Statutes 44-5241.02
- Health benefit plan: shall mean any hospital or medical policy or certificate, major medical expense insurance, or health maintenance organization subscriber contract. See Nebraska Statutes 44-5242
- Medical care: shall mean amounts paid for:
(1)(a) The diagnosis, care, mitigation, treatment, or prevention of disease or (b) the purpose of affecting any structure or function of the body. See Nebraska Statutes 44-5244.01
- State: when applied to different states of the United States shall be construed to extend to and include the District of Columbia and the several territories organized by Congress. See Nebraska Statutes 49-801
- Waiting period: means the period that must pass with respect to an individual before the individual is eligible to be covered for benefits under the terms of the health benefit plan. See Nebraska Statutes 44-5255.01
(a) A group health plan;
(b) Health insurance coverage;
(c) Part A or Part B of Title XVIII of the Social Security Act;
(d) Title XIX of the Social Security Act, 42 U.S.C. § 1396 et seq., other than coverage consisting solely of benefits under section 1928 of the act, 42 U.S.C. § 1396s;
(e) 10 U.S.C. chapter 55, as such chapter existed on January 1, 2003;
(f) A medical care program of the Indian Health Service or of a tribal organization;
(g) A state health benefits risk pool;
(h) A health plan offered under 5 U.S.C. § 8901 et seq.;
(i) A public health plan as defined under regulations promulgated by the federal Secretary of Health and Human Services; and
(j) A health benefit plan under 22 U.S.C. § 2504.
(2) Creditable coverage shall not include any coverage that occurs before a significant break in coverage. For purposes of this section, a significant break in coverage shall mean any period of sixty-three consecutive days during all of which the individual does not have any creditable coverage, except that neither a waiting period nor an affiliation period shall be taken into account in determining a significant break in coverage.
(3) Creditable coverage shall not include coverage consisting solely of coverage of excepted benefits as that term is defined in the federal Health Insurance Portability and Accountability Act of 1996, 29 U.S.C. § 1191b, and regulations adopted pursuant to the act and in effect on April 19, 1998.