210 Neb. Admin. Code, ch. 54, § 008

Current through September 17, 2024
Section 210-54-008 - Requirements for new policies and certificates
008.01 Effective January 1, 1990, no Medicare supplement insurance policy, contract or certificate shall be delivered or issued for delivery in this State which provides benefits which duplicate benefits provided by Medicare. No such policy, contract or certificate shall provide less benefits than those required under the existing Medicare Supplement Insurance Minimum Standards Act or Regulation except where duplication of Medicare benefits would result and except as required by these transition provisions.
008.02 General Requirements
008.02A Within ninety (90) days of the effective date of this regulation, every insurer, health care service plan or other entity required to file its policies or contracts with this State shall file new Medicare supplement insurance policies or contracts which eliminate any duplication of Medicare supplement benefits with benefits provided by Medicare, which adjust minimum required benefits to changes in Medicare benefits and which provides a clear description of the policy or contract benefit.
008.02B The filing required under subsection 006.01A shall provide for loss ratios which are in compliance with all minimum standards.
008.02C Every applicant for a Medicare supplement insurance policy, 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. 54, § 008