As used in this article, unless the context otherwise requires: “Applicant” means: In the case of an individual medicare supplement policy or subscriber contract, the person who seeks to contract for insurance benefits; or In the case of a group medicare supplement policy or subscriber contract, the proposed certificate holder. “Certificate” means any certificate issued […]
Except as otherwise specifically provided, this article shall apply to: All medicare supplement policies and subscriber contracts delivered or issued for delivery in this state on or after July 1, 1989; and All certificates issued under group medicare supplement policies or subscriber contracts, which certificates have been delivered or issued for delivery in this state […]
No medicare supplement insurance policy, contract, or certificate in force in this state shall contain benefits that duplicate benefits provided by medicare. The commissioner shall issue reasonable regulations to establish specific standards for policy provisions of medicare supplement policies and certificates. Such standards shall be in addition to and in accordance with all applicable laws […]
The commissioner shall issue reasonable regulations to establish minimum standards for benefits and payment of claims under medicare supplement policies. Source: L. 89: Entire article R&RE, p. 500, § 1, effective July 1. Editor’s note: This section is similar to former § 10-18-103 as it existed prior to 1989.
Every insurer providing group or individual medicare supplement insurance benefits to a resident of this state pursuant to section 10-18-102 shall file a copy of the group master policy or individual policy and any certificate used in this state in accordance with the filing requirements and procedures of sections 10-16-107.2 and 10-16-406; except that no […]
In order to provide for full and fair disclosure in the sale of medicare supplement policies, no individual medicare supplement policy or certificate shall be delivered or issued for delivery in this state unless the outline of coverage as described in subsection (2) of this section is delivered to the applicant for such policy or […]
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 policyholder or certificate holder shall have the right to return the policy or certificate within thirty days after its delivery and to have any premium refunded if, […]
Every insurer, health-care service plan, or other entity providing medicare supplement insurance or benefits in this state that advertises medicare supplement insurance shall provide the commissioner a written copy of the medicare supplement advertisement used in this state. If there is a complaint filed about a radio or television advertisement, the commissioner may request an […]
In addition to any other applicable penalties for violations of this title, the commissioner may order insurers violating any provision of this article or regulations promulgated pursuant to this article to cease marketing any medicare supplement policy or certificate in this state, which policy or certificate is related directly or indirectly to a violation, may […]