As used in this part, unless the context otherwise requires: “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 […]
Except as otherwise specifically provided, this part applies to: All medicare supplement policies delivered or issued for delivery in this state on or after July 1, 1992; and All certificates issued under group medicare supplement policies, which certificates have been delivered or issued for delivery in this state. This part does not apply to a […]
No medicare supplement policy or certificate in force in this state shall contain benefits that duplicate benefits provided by medicare. Notwithstanding any other law to the contrary, a medicare supplement policy or certificate shall not exclude or limit benefits for losses incurred more than six (6) months from the effective date of coverage because it […]
Medicare supplement policies shall return to policyholders benefits that are reasonable in relation to the premium charged. The commissioner shall promulgate reasonable rules and regulations to establish minimum standards for loss ratios of medicare supplement policies on the basis of incurred claims experience, or incurred health care expenses where coverage is provided by a health […]
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 upon request, but no later than when the agent first discusses the policy’s provisions or limits of […]
Medicare supplement policies and certificates shall have a notice prominently printed on the first page of the policy or certificate, or attached to the policy or certificate, stating in substance that the applicant has the right to return the policy or certificate within thirty (30) days of its delivery and to have the premium refunded […]
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 or approval by the commissioner. The commissioner shall promulgate reasonable rules and regulations to implement this […]
Regulations adopted pursuant to this part are subject to the Uniform Administrative Procedures Act, compiled in title 4, chapter 5.
In addition to any other applicable penalties for violations set out in this title, the commissioner may require issuers violating this part or rules or regulations promulgated pursuant to this part to cease marketing any medicare supplement policy or certificate in this state that is related directly or indirectly to a violation, or may require […]
