• If coverage for expatriates who are U.S. citizens or nationals who reside abroad is provided by a self-insured group health plan, or is provided by group health insurance not regulated by a state or group health coverage provided by a foreign national health plan, the coverage is MEC for any month that the U.S. citizen or national is physically absent from the U.S. for at least one day of the month.
• If an expatriate is a U.S. citizen or national and is physically present in the U.S. for an entire month, the foreign group health coverage is MEC if the coverage provides health benefits within the U.S., and is provided by a self-insured group health plan, group health insurance regulated by a foreign government (and not by a state), or group health coverage provided by a foreign national health plan.
• If the foreign group health coverage is for expatriates residing in the U.S. who are not citizens or nationals of the U.S, the coverage is designated as MEC if the coverage provides health benefits within the U.S., and is provided by a self-insured group health plan, group health insurance regulated by a foreign government (and not regulated by a state), or group health coverage provided by a foreign national health plan.
