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The Merchant Category Code (MCC) 6381 is specifically designated for **Insurance Premiums**. This code is used to classify businesses that primarily engage in the sale, underwriting, and collection of insurance premiums. Despite its historical use, MCC 6381 is no longer valid for the first presentment work, indicating a shift in classification practices. Businesses falling under this category include those involved in the core activities of insurance, such as policy issuance and premium collection, which are essential functions in the insurance industry.