20-3112. Applicability
This 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)).
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