210 Neb. Admin. Code, ch. 48, § 006

Current through September 17, 2024
Section 210-48-006 - Requirements for new policies and certificates
006.01A Effective January 1, 1989, no Medicare supplement insurance policy, subscriber contract, or certificate shall be issued or issued for delivery in this state which provides benefits which duplicate benefits provided by Medicare. No such policy, subscriber contract or certificate shall provide less benefits than those required under existing Medicare Supplement Insurance Minimum Standards Act or Regulations except where duplication of Medicare benefits would result.
006.01B General Requirements
006.01B(1) Within ninety (90) days of the effective date of this regulation, every insurer, health care service plan, hospital and medical service association or health maintenance organization required to file its policies or subscriber contracts with this state shall file new Medicare supplement insurance policies or subscriber contracts which eliminate any duplication of Medicare supplement benefits with benefits provided by Medicare and which provides a clear description of the policy or contract benefit.
006.01B(2) The filing required under subsection 006.01B(1) shall provide for loss ratios which are in compliance with all minimum standards.
006.01B(3) Every applicant for a Medicare supplement insurance policy, subscriber contract or certificate shall be provided with an outline of coverage which simplifies and accurately describes benefits provided by Medicare and policy or contract benefits along with benefit limitations.

210 Neb. Admin. Code, ch. 48, § 006