under any Federal law, (II) a qualified long-term care insurance contract (as defined in section 7702B(b)), (III) a health plan during a period in which the individual is receiving unemployment compensation under any Federal or State law, or (IV) in the case of an account beneficiary who has attained the age specified in section 1811 of the Social Security Act, any health insurance other than a medicare supplemental policy (as defined in section 1882 of the Social Security Act). (iii) Exception for integrated health plans Clause (i) shall not apply to any expense for coverage under an integration eligible health plan which is integrated with the health savings account within the meaning of section 106(d). (iv) Exception for direct primary care service arrangements (I) In general A direct primary care service arrangement shall not be treated as insurance for purposes of clause (i)). (II) Direct primary care service arrangement defined For purposes of this clause, the term direct primary care service arrangement means an arrangement under which an individual is provided medical care (as defined in section 213(d)(1), determined without regard to subparagraph (E) thereof) consisting solely of primary care services provided by primary care practitioners (as defined in section 1833(x)(2)(A) of the Social Security Act, determined without regard to clause (ii) thereof), if the sole compensation for such care is a fixed periodic fee. (C) Menstrual care product For purposes of this paragraph, the term menstrual care product means a tampon, pad, liner, cup, sponge, or similar product used by individuals with respect to menstruation or other genital-tract secretions. (3) Account beneficiary The term account beneficiary means the individual on whose behalf the health savings account was established. (4) Certain rules to Apply Rules similar to the following rules shall apply for purposes of this section: (A) Section 219(d)(2) (relating to no deduction for rollovers). (B) Section 219(f)(3) (relating to time when contributions