415-F:1 Definitions. – In this chapter: I. "Applicant" means: (a) In the case of an individual Medicare supplement policy, the person who seeks to contract for insurance benefits; and (b) In the case of a group Medicare supplement policy, the proposed certificate holder. II. "Certificate" means any certificate advertised, solicited, delivered or issued for […]
415-F:2 Applicability and Scope. – I. Except as otherwise specifically provided in RSA 415-F:4, this chapter shall apply to: (a) All Medicare supplement policies delivered or issued for delivery in this state on or after January 1, 1995; and (b) All certificates issued under group Medicare supplement policies, which certificates have been delivered or […]
415-F:3 Standards for Policy Provisions and Authority to Adopt Rules. – I. No Medicare supplement policy or certificate in force in the state shall contain benefits that duplicate benefits provided by Medicare. II. Notwithstanding any other provision of law of this state, a Medicare supplement policy or certificate shall not exclude or limit benefits […]
415-F:4 Loss Ratio Standards. – 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 […]
415-F:5 Disclosure Standards. – I. 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. II. The commissioner shall prescribe […]
415-F:6 Notice of Free Examination. – Medicare supplement policies and 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 […]
415-F:7 Filing Requirements for Advertising. – 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 this state for review or approval by the commissioner to […]
415-F:8 Penalties. – In addition to any other applicable penalties for violations of the insurance code, the commissioner may require issuers violating any provision of this chapter or rules adopted pursuant to this chapter to cease marketing any Medicare supplement policy or certificate in this state which is related directly or indirectly to a […]
415-F:9 Premiums. – Upon a Medicare eligible disabled member attaining the age of 65, no issuer shall continue to charge that member the under age 65 premium. Source. 2021, 119:2, Pt. IV, Sec. 1, eff. Jan. 1, 2022.
