N.H. Admin. Code § Ins 1902.03

Current through Register No. 50, December 12, 2024
Section Ins 1902.03 - Definitions
(a) "Applicant" means:
(1) In the case of an individual medicare supplement policy or subscriber contract, the person who seeks to contract for insurance benefits; and
(2) In the case of a group medicare supplement policy or subscriber contract, the proposed certificateholder.
(b) "Certificate" means any certificate issued under a group medicare supplement policy, which policy has been advertised, solicited, delivered, or issued for delivery in this state.
(c) "Medicare supplement policy" means a group or individual policy of accident and health insurance or a subscriber contract of hospital service corporations, medical service corporations, or health service corporations which is advertised, marketed, or designed primarily as a supplement to reimbursements under medicare for the hospital, medical, or surgical expenses of persons eligible for medicare and includes:
(1) A policy or contract for one or more employers or labor organizations, or of the trustees of a fund established by one or more employers or labor organizations, or a combination thereof, for employees or former employees, or combination thereof, or for members or former members, or combination thereof, of the labor organizations; or
(2) A policy or contract of any professional, trade, or occupational association for its members or former or retired members, or a combination thereof, if such association:
a. Is composed of individuals all of whom are actively engaged in the same profession, trade, or occupation;
b. Has been maintained in good faith for purposes other than obtaining insurance; and
c. Has been in existence for at least 2 years prior to the date of its initial offering of such policy or plan to its members.
(d) "Medicare" means the "Health Insurance For The Aged Act," Title XVIII of the Social Security Amendments of 1965, as then constituted or later amended.

N.H. Admin. Code § Ins 1902.03

#1900, eff 1-1-82; ss by #4287, eff 7-1-87; ss by #5119, eff 4-25-91; amd by #5421, eff 7-1-92; ss by #5656, eff 7-1-93; ss by #7017, INTERIM, eff 7-1-99, EXPIRED: 10-29-99

New. #8555, eff 2-1-06

Amended by Volume XXXVI Number 06, Filed February 11, 2016, Proposed by #11014, Effective 1/8/2016, Expires 1/8/2026.