Preexisting Condition Exclusion [Internal Revenue] Law and Legal Definition
Pursuant to 26 CFR 54.9801-2 [Title 26 Internal Revenue; Chapter I Internal Revenue Service, Department of the Treasury; Subchapter D Miscellaneous Excise Taxes; Part 54 Pension Excise Taxes], the term Preexisting Condition Exclusion means “a limitation or exclusion of benefits (including a denial of coverage) based on the fact that the condition was present before the effective date of coverage (or if coverage is denied, the date of the denial) under a group health plan or group or individual health insurance coverage (or other coverage provided to federally eligible individuals pursuant to 45 CFR part 148), whether or not any medical advice, diagnosis, care, or treatment was recommended or received before that day. A preexisting condition exclusion includes any limitation or exclusion of benefits (including a denial of coverage) applicable to an individual as a result of information relating to an individual's health status before the individual's effective date of coverage (or if coverage is denied, the date of the denial) under a group health plan, or group or individual health insurance coverage (or other coverage provided to Federally eligible individuals pursuant to 45 CFR part 148), such as a condition identified as a result of a pre-enrollment questionnaire or physical examination given to the individual, or review of medical records relating to the pre-enrollment period.”
Legal Definition list
- Preexisting Condition Exclusion [Internal Revenue]
- Preexisting Condition
- Preemptory Defense
- Preemptive Causation
- Preemption Determination
- Preexisting Duty Rule
- Preexisting Satellite Digital Audio Radio Service [Patents]
- Preexisting Subscription Service [Patents]
- Preference
- Preference Action (Bankruptcy)
- Preference Categories
Related Legal Terms
- Accumulation plan [Internal Revenue]
- Actuarial Present Value [Internal Revenue]
- Adoption Tax Exclusion
- Adverse Driving Conditions
- Airport Revenue [Aeronautics and Space]
- All Substantial Rights to a Patent [Internal Revenue]
- Alternate Payee [Internal Revenue]
- Annual Exclusion
- Applicable Exclusion Amount
- Approved Terminal or Refinery [Internal Revenue]