§ 83-9-109. Outline of coverage
In order to provide for full and fair disclosure in the sale of Medicare supplement policies, no Medicare supplement policy or certificate shall be delivered in this state unless an outline of coverage is delivered to the applicant at the time application is made. The commissioner shall prescribe the format and content of the outline […]
§ 83-9-110. Review and approval of advertising by commissioner
Every issuer of Medicare supplement insurance policies or certificates in this state shall provide a copy of any Medicare supplement advertisement intended for use in this state whether through written, radio or television medium to the commissioner for review and approval.
§ 83-9-111. Right to return policy or certificate
Medicare supplement policies or certificates shall have a notice prominently printed on the first page of the policy or certificate or attached thereto stating in substance that the applicant shall have the right to return the policy or certificate within thirty (30) days of its delivery and to have the premium refunded if, after examination […]
§ 83-9-112. Penalty for issuers violating statutory provisions
In addition to any other applicable penalties for violations of the insurance code, the commissioner may require issuers violating any provision of Sections 83-9-101 through 83-9-115 or regulations promulgated pursuant to Sections 83-9-101 through 83-9-115 to cease marketing any Medicare supplement policy or certificate in this state which is related directly or indirectly to a […]
§ 83-9-47. Third-party payors required to notify health care providers of payment for services made directly to patient
As used in this section, the following terms shall be defined as follows: “Third-party payor” means any insurer, nonprofit hospital service plan, health care service plan, health maintenance organization, self-insurer or any person or other entity which provides payment for medical and related services. “Health care provider” means a physician, optometrist, chiropractor, dentist, podiatrist, pharmacist, […]
§ 83-9-49. Limit on exclusion of preexisting condition from health and accident insurance coverage; definition of preexisting condition; exceptions
Any group hospital, health or medical expense insurance policy, hospital or medical service contract, health and accident insurance policy or any other insurance contract of this type which is delivered or issued for delivery in this state on or after January 1, 1994, shall not deny, exclude or limit benefits for a covered individual for […]
§ 83-9-51. Group policy defined; election to continue coverage after employment termination; continuation of coverage by dependent spouse or child; exclusions; payment; termination of coverage; notice
“Group policy” means a group accident and health insurance policy or group certificate delivered or issued for delivery in this state by an insurer; a nonprofit hospital, medical and surgical service corporation; a health maintenance organization; a fully insured multiple employer welfare arrangement; or any combination thereof. A group policy delivered or issued for delivery […]
§ 83-9-53. Authorization to establish rules and regulations
The Commissioner of Insurance may establish such rules and regulations as may be necessary or desirable to carry out Sections 83-9-47 through 83-9-53.
§ 83-9-101. Definitions
As used in Sections 83-9-101 through 83-9-113: “Applicant” means: In the case of an individual Medicare supplement policy, the person who seeks to contract for insurance benefits, and In the case of a group Medicare supplement policy, the proposed certificate holder. “Certificate” means any certificate delivered or issued for delivery in this state under a […]
§ 83-9-102. Applicability of provisions
Sections 83-9-101 through 83-9-115 shall apply to: All Medicare supplement policies delivered or issued for delivery in this state on or after April 20, 1992, and All certificates issued under group Medicare supplement policies, which certificates have been delivered or issued for delivery in this state. Sections 83-9-101 through 83-9-115 shall not apply to a […]