Section 27-19-50 – Short Title.

Section 27-19-50 Short title. This article shall be known and may be cited as the “Alabama Medicare Supplement Minimum Standards Act.” (Acts 1981, No. 81-560, p. 940, §1.)

Section 27-19-51 – Purpose of Article.

Section 27-19-51 Purpose of article. The purpose of this article is to establish certain definitions, policy provisions, anticipated loss ratio standards, and disclosure requirements applicable to group and individual Medicare supplement disability policies and to authorize the implementation of these requirements through regulations promulgated by the Commissioner of Insurance consistent with the uniform standards developed […]

Section 27-19-52 – Definitions.

Section 27-19-52 Definitions. For purposes of this article, the following terms shall have the meaning indicated herein: (1) APPLICANT. Includes either of the following: a. In the case of an individual Medicare supplement policy or subscriber contract, the person who seeks to contract for insurance benefits. b. In the case of a group Medicare supplement […]

Section 27-19-52.1 – Applicability of Article.

Section 27-19-52.1 Applicability of article. (a) Except as otherwise specifically provided, this article shall apply to both of the following: (1) All Medicare supplement policies delivered or issued for delivery in this state on or after August 1, 2000. (2) All certificates issued under group Medicare supplement policies, which certificates have been delivered or issued […]

Section 27-19-53 – Standards for Policy Provisions; Limitations of Benefits.

Section 27-19-53 Standards for policy provisions; limitations of benefits. (a) The commissioner shall issue reasonable regulations to establish specific standards for policy provisions of Medicare supplement policies and certificates. The standards shall be in addition to and in accordance with applicable laws of this state, including Article 1 and Chapter 20. No requirement of this […]

Section 27-19-54 – Minimum Standards for Benefits, Compensation Arrangement, etc.; Conformity With Federal Provisions.

Section 27-19-54 Minimum standards for benefits, compensation arrangement, etc.; conformity with federal provisions. (a) The commissioner shall issue reasonable regulations to establish minimum standards for benefits, claims payment, marketing practices, compensation arrangements, and reporting practices, for Medicare supplement policies and certificates. For the purposes of this section, the term compensation arrangements shall not include payment […]

Section 27-19-55 – Standards for Loss Ratios.

Section 27-19-55 Standards for loss ratios. Medicare supplement policies shall return to policyholders benefits which are reasonable in relation to the premium charged. The commissioner shall issue reasonable 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 […]

Section 27-19-56 – Outline of Coverage; Disclosure of Information.

Section 27-19-56 Outline of coverage; disclosure of information. (a) In order to provide for full and fair disclosure in the sale of Medicare supplement policies, no Medicare supplement policy shall be delivered or issued for delivery in this state and no certificate shall be delivered pursuant to a group Medicare supplement policy delivered or issued […]

Section 27-19-57 – Right of Return and Refund.

Section 27-19-57 Right of return and refund. 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 30 days of its delivery and to have […]

Section 27-19-57.1 – Review of Advertisements.

Section 27-19-57.1 Review of advertisements. 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 of Insurance of this state for review or approval by the commissioner to […]

Section 27-19-57.2 – Additional Penalties for Violation of Article.

Section 27-19-57.2 Additional penalties for violation of article. In addition to any other applicable penalties for violations of the insurance code, the commissioner may require issuers violating this article or regulations promulgated pursuant to this article to cease marketing any Medicare supplement policy or certificate in this state which is related directly or indirectly to […]

Section 27-19-58 – Applicability of Provisions of Title to Regulations Promulgated Pursuant to Article.

Section 27-19-58 Applicability of provisions of title to regulations promulgated pursuant to article. Regulations promulgated pursuant to this article shall be subject to the provisions of Chapter 2 of this title. (Acts 1981, No. 81-560, p. 940, §9.)

Section 27-19-59 – Fines.

Section 27-19-59 Fines. In addition to any other penalties provided by the laws of this state, any insurer and any agent found to have violated any requirement of this state relating to the regulation of Medicare supplement insurance or the marketing of this insurance shall be subject to a fine of up to three times […]