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South Carolina · Through 2026 Session of the General Assembly

S.C. Code Ann. § 38-105-10: Definitions.

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Where this section sits in the code
  1. Title 38 - INSURANCE
  2. CHAPTER 105 Wellness Reimbursement Programs

As used in this chapter:

(1) "Broker" means an independent health insurance agent licensed in this State.

(2) "Director" means the director of the Department of Insurance or his designee.

(3) "Person" means a natural person, corporation, mutual company, unincorporated association, partnership, joint venture, limited liability company, trust, estate, foundation, not-for-profit corporation, unincorporated organization, government, or governmental subdivision or agency.

(4) "Wellness reimbursement program" means a self-insured medical reimbursement plan or a wellness integrated medical plan expense reimbursement plan:

(a) that is created pursuant to 26 C.F.R. 1.105-11 and Sections 105 and 125 of the Internal Revenue Code;

(b) that has issued a contract to provide services and pay claims pertaining to reimbursements of qualified medical expenses relating to Section 213(d) of the Internal Revenue Code;

(c) that is intended, created, marketed, and sold as an ancillary product to an individual or group health insurance coverage or self-insured group health plan; and

(d) the reimbursement funds are not held by a third party administrator.

"Wellness reimbursement program" does not include any underlying individual or group health insurance coverage or a self-insured group health plan.

(5) "Wellness reimbursement program administrator" means any person who manages the operation of a wellness reimbursement program.

Collected 2026-10-25T03:49:05Z. Source file · JSON

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