{"identifier":"/us/usc/t29/s1191b","title":29,"num":"\u00a7\u202f1191b.","heading":"Definitions","text":"\u00a7\u202f1191b.\nDefinitions\n(a)\nGroup health plan\nFor purposes of this part\u2014\n(1)\nIn general\nThe term \u201cgroup health plan\u201d 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\nsection 9831(d)(2) of title 26\n(2)\nMedical care\nThe term \u201cmedical care\u201d means amounts paid for\u2014\n(A) the diagnosis, cure, mitigation, treatment, or prevention of disease, or amounts paid for the purpose of affecting any structure or function of the body,\n(B) amounts paid for transportation primarily for and essential to medical care referred to in subparagraph (A), and\n(C) amounts paid for insurance covering medical care referred to in subparagraphs (A) and (B).\n(b)\nDefinitions relating to health insurance\nFor purposes of this part\u2014\n(1)\nHealth insurance coverage\nThe term \u201chealth insurance coverage\u201d 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.\n(2)\nHealth insurance issuer\nThe term \u201chealth insurance issuer\u201d 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\nsection 1144(b)(2) of this title\n(3)\nHealth maintenance organization\nThe term \u201chealth maintenance organization\u201d means\u2014\n(A) a federally qualified health maintenance organization (as defined in section 1301(a) of the Public Health Service Act (\n42 U.S.C. 300e(a)\n(B) an organization recognized under State law as a health maintenance organization, or\n(C) a similar organization regulated under State law for solvency in the same manner and to the same extent as such a health maintenance organization.\n(4)\nGroup health insurance coverage\nThe term \u201cgroup health insurance coverage\u201d means, in connection with a group health plan, health insurance coverage offered in connection with such plan.\n(c)\nExcepted benefits\nFor purposes of this part, the term \u201cexcepted benefits\u201d means benefits under one or more (or any combination thereof) of the following:\n(1)\nBenefits not subject to requirements\n(A) Coverage only for accident, or disability income insurance, or any combination thereof.\n(B) Coverage issued as a supplement to liability insurance.\n(C) Liability insurance, including general liability insurance and automobile liability insurance.\n(D) Workers\u2019 compensation or similar insurance.\n(E) Automobile medical payment insurance.\n(F) Credit-only insurance.\n(G) Coverage for on-site medical clinics.\n(H) Other similar insurance coverage, specified in regulations, under which benefits for medical care are secondary or incidental to other insurance benefits.\n(2)\nBenefits not subject to requirements if offered separately\n(A) Limited scope dental or vision benefits.\n(B) Benefits for long-term care, nursing home care, home health care, community-based care, or any combination thereof.\n(C) Such other similar, limited benefits as are specified in regulations.\n(3)\nBenefits not subject to requirements if offered as independent, noncoordinated benefits\n(A) Coverage only for a specified disease or illness.\n(B) Hospital indemnity or other fixed indemnity insurance.\n(4)\nBenefits not subject to requirements if offered as separate insurance policy\nMedicare supplemental health insurance (as defined under\nsection 1395ss(g)(1) of title 42\n(d)\nOther definitions\nFor purposes of this part\u2014\n(1)\nCOBRA continuation provision\nThe term \u201cCOBRA continuation provision\u201d means any of the following:\n(A) Part 6 of this subtitle.\n(B) Section 4980B of title 26\n(C) Title XXII of the Public Health Service Act [\n42 U.S.C. 300bb\u20131\n(2)\nHealth status-related factor\nThe term \u201chealth status-related factor\u201d means any of the factors described in\nsection 1182(a)(1) of this title\n(3)\nNetwork plan\nThe term \u201cnetwork plan\u201d 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.\n(4)\nPlaced for adoption\nThe term \u201cplacement\u201d, or being \u201cplaced\u201d, for adoption, has the meaning given such term in\nsection 1169(c)(3)(B) of this title\n(5)\nFamily member\nThe term \u201cfamily member\u201d means, with respect to an individual\u2014\n(A) a dependent (as such term is used for purposes of\nsection 1181(f)(2) of this title\n(B) any other individual who is a first-degree, second-degree, third-degree, or fourth-degree relative of such individual or of an individual described in subparagraph (A).\n(6)\nGenetic information\n(A)\nIn general\nThe term \u201cgenetic information\u201d means, with respect to any individual, information about\u2014\n(i) such individual\u2019s genetic tests,\n(ii) the genetic tests of family members of such individual, and\n(iii) the manifestation of a disease or disorder in family members of such individual.\n(B)\nInclusion of genetic services and participation in genetic research\nSuch 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.\n(C)\nExclusions\nThe term \u201cgenetic information\u201d shall not include information about the sex or age of any individual.\n(7)\nGenetic test\n(A)\nIn general\nThe term \u201cgenetic test\u201d means an analysis of human DNA, RNA, chromosomes, proteins, or metabolites, that detects genotypes, mutations, or chromosomal changes.\n(B)\nExceptions\nThe term \u201cgenetic test\u201d does not mean\u2014\n(i) an analysis of proteins or metabolites that does not detect genotypes, mutations, or chromosomal changes; or\n(ii) an analysis of proteins or metabolites that is directly related to a manifested disease, disorder, or pathological condition that could reasonably be detected by a health care professional with appropriate training and expertise in the field of medicine involved.\n(8)\nGenetic services\nThe term \u201cgenetic services\u201d means\u2014\n(A) a genetic test;\n(B) genetic counseling (including obtaining, interpreting, or assessing genetic information); or\n(C) genetic education.\n(9)\nUnderwriting purposes\nThe term \u201cunderwriting purposes\u201d means, with respect to any group health plan, or health insurance coverage offered in connection with a group health plan\u2014\n(A) rules for, or determination of, eligibility (including enrollment and continued eligibility) for benefits under the plan or coverage;\n(B) the computation of premium or contribution amounts under the plan or coverage;\n(C) the application of any pre-existing condition exclusion under the plan or coverage; and\n(D) other activities related to the creation, renewal, or replacement of a contract of health insurance or health benefits.","url":"https://projectusc.org/usc/t29/s1191b.html","content":[{"t":"sec","id":"/us/usc/t29/s1191b","children":[{"t":"num","text":"\u00a7\u202f1191b."},{"t":"heading","text":"Definitions"},{"t":"subsec","id":"/us/usc/t29/s1191b/a","children":[{"t":"num","text":"(a)"},{"t":"heading","text":"Group health plan"},{"t":"chapeau","text":"For purposes of this part\u2014"},{"t":"para","id":"/us/usc/t29/s1191b/a/1","children":[{"t":"num","text":"(1)"},{"t":"heading","text":"In general"},{"t":"content","children":[{"t":"p","text":"The term \u201cgroup health plan\u201d 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 ","children":[{"t":"ref","text":"section 9831(d)(2) of title 26","href":"/us/usc/t26/s9831/d/2","tail":")."}],"tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t29/s1191b/a/2","children":[{"t":"num","text":"(2)"},{"t":"heading","text":"Medical care"},{"t":"chapeau","text":"The term \u201cmedical care\u201d means amounts paid for\u2014"},{"t":"subpara","id":"/us/usc/t29/s1191b/a/2/A","children":[{"t":"num","text":"(A)"},{"t":"content","text":" the diagnosis, cure, mitigation, treatment, or prevention of disease, or amounts paid for the purpose of affecting any structure or function of the body,","tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t29/s1191b/a/2/B","children":[{"t":"num","text":"(B)"},{"t":"content","text":" amounts paid for transportation primarily for and essential to medical care referred to in subparagraph (A), and","tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t29/s1191b/a/2/C","children":[{"t":"num","text":"(C)"},{"t":"content","text":" amounts paid for insurance covering medical care referred to in subparagraphs (A) and (B).","tail":"\n"}],"tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"subsec","id":"/us/usc/t29/s1191b/b","children":[{"t":"num","text":"(b)"},{"t":"heading","text":"Definitions relating to health insurance"},{"t":"chapeau","text":"For purposes of this part\u2014"},{"t":"para","id":"/us/usc/t29/s1191b/b/1","children":[{"t":"num","text":"(1)"},{"t":"heading","text":"Health insurance coverage"},{"t":"content","children":[{"t":"p","text":"The term \u201chealth insurance coverage\u201d 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.","tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t29/s1191b/b/2","children":[{"t":"num","text":"(2)"},{"t":"heading","text":"Health insurance issuer"},{"t":"content","children":[{"t":"p","text":"The term \u201chealth insurance issuer\u201d 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 ","children":[{"t":"ref","text":"section 1144(b)(2) of this title","href":"/us/usc/t29/s1144/b/2","tail":"). Such term does not include a group health plan."}],"tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t29/s1191b/b/3","children":[{"t":"num","text":"(3)"},{"t":"heading","text":"Health maintenance organization"},{"t":"chapeau","text":"The term \u201chealth maintenance organization\u201d means\u2014"},{"t":"subpara","id":"/us/usc/t29/s1191b/b/3/A","children":[{"t":"num","text":"(A)"},{"t":"content","text":" a federally qualified health maintenance organization (as defined in section 1301(a) of the Public Health Service Act (","children":[{"t":"ref","text":"42 U.S.C. 300e(a)","href":"/us/usc/t42/s300e/a","tail":")),"}],"tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t29/s1191b/b/3/B","children":[{"t":"num","text":"(B)"},{"t":"content","text":" an organization recognized under State law as a health maintenance organization, or","tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t29/s1191b/b/3/C","children":[{"t":"num","text":"(C)"},{"t":"content","text":" a similar organization regulated under State law for solvency in the same manner and to the same extent as such a health maintenance organization.","tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t29/s1191b/b/4","children":[{"t":"num","text":"(4)"},{"t":"heading","text":"Group health insurance coverage"},{"t":"content","children":[{"t":"p","text":"The term \u201cgroup health insurance coverage\u201d means, in connection with a group health plan, health insurance coverage offered in connection with such plan.","tail":"\n"}],"tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"subsec","id":"/us/usc/t29/s1191b/c","children":[{"t":"num","text":"(c)"},{"t":"heading","text":"Excepted benefits"},{"t":"chapeau","text":"For purposes of this part, the term \u201cexcepted benefits\u201d means benefits under one or more (or any combination thereof) of the following:"},{"t":"para","id":"/us/usc/t29/s1191b/c/1","children":[{"t":"num","text":"(1)"},{"t":"heading","text":"Benefits not subject to requirements"},{"t":"subpara","id":"/us/usc/t29/s1191b/c/1/A","children":[{"t":"num","text":"(A)"},{"t":"content","text":" Coverage only for accident, or disability income insurance, or any combination thereof.","tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t29/s1191b/c/1/B","children":[{"t":"num","text":"(B)"},{"t":"content","text":" Coverage issued as a supplement to liability insurance.","tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t29/s1191b/c/1/C","children":[{"t":"num","text":"(C)"},{"t":"content","text":" Liability insurance, including general liability insurance and automobile liability insurance.","tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t29/s1191b/c/1/D","children":[{"t":"num","text":"(D)"},{"t":"content","text":" Workers\u2019 compensation or similar insurance.","tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t29/s1191b/c/1/E","children":[{"t":"num","text":"(E)"},{"t":"content","text":" Automobile medical payment insurance.","tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t29/s1191b/c/1/F","children":[{"t":"num","text":"(F)"},{"t":"content","text":" Credit-only insurance.","tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t29/s1191b/c/1/G","children":[{"t":"num","text":"(G)"},{"t":"content","text":" Coverage for on-site medical clinics.","tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t29/s1191b/c/1/H","children":[{"t":"num","text":"(H)"},{"t":"content","text":" Other similar insurance coverage, specified in regulations, under which benefits for medical care are secondary or incidental to other insurance benefits.","tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t29/s1191b/c/2","children":[{"t":"num","text":"(2)"},{"t":"heading","text":"Benefits not subject to requirements if offered separately"},{"t":"subpara","id":"/us/usc/t29/s1191b/c/2/A","children":[{"t":"num","text":"(A)"},{"t":"content","text":" Limited scope dental or vision benefits.","tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t29/s1191b/c/2/B","children":[{"t":"num","text":"(B)"},{"t":"content","text":" Benefits for long-term care, nursing home care, home health care, community-based care, or any combination thereof.","tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t29/s1191b/c/2/C","children":[{"t":"num","text":"(C)"},{"t":"content","text":" Such other similar, limited benefits as are specified in regulations.","tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t29/s1191b/c/3","children":[{"t":"num","text":"(3)"},{"t":"heading","text":"Benefits not subject to requirements if offered as independent, noncoordinated benefits"},{"t":"subpara","id":"/us/usc/t29/s1191b/c/3/A","children":[{"t":"num","text":"(A)"},{"t":"content","text":" Coverage only for a specified disease or illness.","tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t29/s1191b/c/3/B","children":[{"t":"num","text":"(B)"},{"t":"content","text":" Hospital indemnity or other fixed indemnity insurance.","tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t29/s1191b/c/4","children":[{"t":"num","text":"(4)"},{"t":"heading","text":"Benefits not subject to requirements if offered as separate insurance policy"},{"t":"content","children":[{"t":"p","text":"Medicare supplemental health insurance (as defined under ","children":[{"t":"ref","text":"section 1395ss(g)(1) of title 42","href":"/us/usc/t42/s1395ss/g/1","tail":"), coverage supplemental to the coverage provided under chapter 55 of title 10, and similar supplemental coverage provided to coverage under a group health plan."}],"tail":"\n"}],"tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"subsec","id":"/us/usc/t29/s1191b/d","children":[{"t":"num","text":"(d)"},{"t":"heading","text":"Other definitions"},{"t":"chapeau","text":"For purposes of this part\u2014"},{"t":"para","id":"/us/usc/t29/s1191b/d/1","children":[{"t":"num","text":"(1)"},{"t":"heading","text":"COBRA continuation provision"},{"t":"chapeau","text":"The term \u201cCOBRA continuation provision\u201d means any of the following:"},{"t":"subpara","id":"/us/usc/t29/s1191b/d/1/A","children":[{"t":"num","text":"(A)"},{"t":"content","text":" Part 6 of this subtitle.","tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t29/s1191b/d/1/B","children":[{"t":"num","text":"(B)"},{"t":"content","text":" ","children":[{"t":"ref","text":"Section 4980B of title 26","href":"/us/usc/t26/s4980B","tail":", other than subsection (f)(1) of such section insofar as it relates to pediatric vaccines."}],"tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t29/s1191b/d/1/C","children":[{"t":"num","text":"(C)"},{"t":"content","text":" Title XXII of the Public Health Service Act [","children":[{"t":"ref","text":"42 U.S.C. 300bb\u20131","href":"/us/usc/t42/s300bb\u20131","tail":" et seq.]."}],"tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t29/s1191b/d/2","children":[{"t":"num","text":"(2)"},{"t":"heading","text":"Health status-related factor"},{"t":"content","children":[{"t":"p","text":"The term \u201chealth status-related factor\u201d means any of the factors described in ","children":[{"t":"ref","text":"section 1182(a)(1) of this title","href":"/us/usc/t29/s1182/a/1","tail":"."}],"tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t29/s1191b/d/3","children":[{"t":"num","text":"(3)"},{"t":"heading","text":"Network plan"},{"t":"content","children":[{"t":"p","text":"The term \u201cnetwork plan\u201d 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.","tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t29/s1191b/d/4","children":[{"t":"num","text":"(4)"},{"t":"heading","text":"Placed for adoption"},{"t":"content","children":[{"t":"p","text":"The term \u201cplacement\u201d, or being \u201cplaced\u201d, for adoption, has the meaning given such term in ","children":[{"t":"ref","text":"section 1169(c)(3)(B) of this title","href":"/us/usc/t29/s1169/c/3/B","tail":"."}],"tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t29/s1191b/d/5","children":[{"t":"num","text":"(5)"},{"t":"heading","text":"Family member"},{"t":"chapeau","text":"The term \u201cfamily member\u201d means, with respect to an individual\u2014"},{"t":"subpara","id":"/us/usc/t29/s1191b/d/5/A","children":[{"t":"num","text":"(A)"},{"t":"content","text":" a dependent (as such term is used for purposes of ","children":[{"t":"ref","text":"section 1181(f)(2) of this title","href":"/us/usc/t29/s1181/f/2","tail":") of such individual, and"}],"tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t29/s1191b/d/5/B","children":[{"t":"num","text":"(B)"},{"t":"content","text":" any other individual who is a first-degree, second-degree, third-degree, or fourth-degree relative of such individual or of an individual described in subparagraph (A).","tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t29/s1191b/d/6","children":[{"t":"num","text":"(6)"},{"t":"heading","text":"Genetic information"},{"t":"subpara","id":"/us/usc/t29/s1191b/d/6/A","children":[{"t":"num","text":"(A)"},{"t":"heading","text":"In general"},{"t":"chapeau","text":"The term \u201cgenetic information\u201d means, with respect to any individual, information about\u2014"},{"t":"clause","id":"/us/usc/t29/s1191b/d/6/A/i","children":[{"t":"num","text":"(i)"},{"t":"content","text":" such individual\u2019s genetic tests,","tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t29/s1191b/d/6/A/ii","children":[{"t":"num","text":"(ii)"},{"t":"content","text":" the genetic tests of family members of such individual, and","tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t29/s1191b/d/6/A/iii","children":[{"t":"num","text":"(iii)"},{"t":"content","text":" the manifestation of a disease or disorder in family members of such individual.","tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t29/s1191b/d/6/B","children":[{"t":"num","text":"(B)"},{"t":"heading","text":"Inclusion of genetic services and participation in genetic research"},{"t":"content","children":[{"t":"p","text":"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.","tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t29/s1191b/d/6/C","children":[{"t":"num","text":"(C)"},{"t":"heading","text":"Exclusions"},{"t":"content","children":[{"t":"p","text":"The term \u201cgenetic information\u201d shall not include information about the sex or age of any individual.","tail":"\n"}],"tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t29/s1191b/d/7","children":[{"t":"num","text":"(7)"},{"t":"heading","text":"Genetic test"},{"t":"subpara","id":"/us/usc/t29/s1191b/d/7/A","children":[{"t":"num","text":"(A)"},{"t":"heading","text":"In general"},{"t":"content","children":[{"t":"p","text":"The term \u201cgenetic test\u201d means an analysis of human DNA, RNA, chromosomes, proteins, or metabolites, that detects genotypes, mutations, or chromosomal changes.","tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t29/s1191b/d/7/B","children":[{"t":"num","text":"(B)"},{"t":"heading","text":"Exceptions"},{"t":"chapeau","text":"The term \u201cgenetic test\u201d does not mean\u2014"},{"t":"clause","id":"/us/usc/t29/s1191b/d/7/B/i","children":[{"t":"num","text":"(i)"},{"t":"content","text":" an analysis of proteins or metabolites that does not detect genotypes, mutations, or chromosomal changes; or","tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t29/s1191b/d/7/B/ii","children":[{"t":"num","text":"(ii)"},{"t":"content","text":" an analysis of proteins or metabolites that is directly related to a manifested disease, disorder, or pathological condition that could reasonably be detected by a health care professional with appropriate training and expertise in the field of medicine involved.","tail":"\n"}],"tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t29/s1191b/d/8","children":[{"t":"num","text":"(8)"},{"t":"heading","text":"Genetic services"},{"t":"chapeau","text":"The term \u201cgenetic services\u201d means\u2014"},{"t":"subpara","id":"/us/usc/t29/s1191b/d/8/A","children":[{"t":"num","text":"(A)"},{"t":"content","text":" a genetic test;","tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t29/s1191b/d/8/B","children":[{"t":"num","text":"(B)"},{"t":"content","text":" genetic counseling (including obtaining, interpreting, or assessing genetic information); or","tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t29/s1191b/d/8/C","children":[{"t":"num","text":"(C)"},{"t":"content","text":" genetic education.","tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t29/s1191b/d/9","children":[{"t":"num","text":"(9)"},{"t":"heading","text":"Underwriting purposes"},{"t":"chapeau","text":"The term \u201cunderwriting purposes\u201d means, with respect to any group health plan, or health insurance coverage offered in connection with a group health plan\u2014"},{"t":"subpara","id":"/us/usc/t29/s1191b/d/9/A","children":[{"t":"num","text":"(A)"},{"t":"content","text":" rules for, or determination of, eligibility (including enrollment and continued eligibility) for benefits under the plan or coverage;","tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t29/s1191b/d/9/B","children":[{"t":"num","text":"(B)"},{"t":"content","text":" the computation of premium or contribution amounts under the plan or coverage;","tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t29/s1191b/d/9/C","children":[{"t":"num","text":"(C)"},{"t":"content","text":" the application of any pre-existing condition exclusion under the plan or coverage; and","tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t29/s1191b/d/9/D","children":[{"t":"num","text":"(D)"},{"t":"content","text":" other activities related to the creation, renewal, or replacement of a contract of health insurance or health benefits.","tail":"\n"}],"tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"text","text":"\n"},{"t":"text","text":"\n"}]}]}