Examples that are considered Health Insurance

The following examples ARE considered health insurance. These policies provide or require specific medical or health service. Data should be entered on N-FOCUS/TPL and premium deductions allowed.

Example 1: Physicians Mutual Insurance; hospital daily indemnity policy; monthly premium of $15; pays $25 per day for every day hospitalized.

Example 2: Amex Life Insurance; nursing home confinement policy; monthly premium of $52.20; pays $20 per day for every day of nursing home confinement for a maximum of twenty-four months.

Example 3: Bankers Life and Casualty Co.; cancer treatment policy; monthly premium of $5.60; pays for cancer surgery and chemotherapy.

NOTE: See 477 NAC 2-010.04 or 469 NAC 2-010.01B2d for treatment of Third Party Medical Payments received directly.

(Rev. February 7, 2000)