Chapter 20:06:13 - Medicare supplement insurance
- Section 20:06:13:01 - Disclosure form required.Repealed
- Section 20:06:13:02 - Definitions
- Section 20:06:13:02.01 - Requirements for definition of "accident" and similar words in policies
- Section 20:06:13:02.02 - Requirements for definitions in policies
- Section 20:06:13:03 - Applicability
- Section 20:06:13:04 - Allowed restrictions on coverage of accidents.Repealed
- Section 20:06:13:05 - Effects of other insurance and coverage of accidents.Repealed
- Section 20:06:13:06 - Restrictions for accidents while employed.Repealed
- Section 20:06:13:07 - Denial of benefits to persons in skilled nursing facilities prohibited.Repealed
- Section 20:06:13:08 - Skilled nursing facility - Exclusions.Repealed
- Section 20:06:13:09 - Hospital reimbursement by nonprofit plans.Repealed
- Section 20:06:13:10 - Mental or emotional disorders - Limitations and exclusions.Repealed
- Section 20:06:13:11 - Nurse - Description of classes.Repealed
- Section 20:06:13:12 - Coverage of sickness - Allowed restrictions.Repealed
- Section 20:06:13:13 - Coverage of sickness - Other insurance. Repealed
- Section 20:06:13:14 - Eligible expenses under Medicare
- Section 20:06:13:14.01 - Health care expenses defined - Exclusions.Repealed
- Section 20:06:13:15 - Permitted policy limitations and exclusions. Repealed
- Section 20:06:13:16 - Waiver of coverage not allowed
- Section 20:06:13:17 - Applicability of benefit standards
- Section 20:06:13:17.01 - Benefits restored. Repealed
- Section 20:06:13:17.02 - General standards for 1990 standardized Medicare supplement benefit plans
- Section 20:06:13:17.03 - Standards for basic core benefits for 1990 standardized Medicare supplement benefit plans
- Section 20:06:13:17.04 - Standards for additional benefits for 1990 standardized Medicare supplement benefit plans
- Section 20:06:13:17.05 - Requirements for standard Medicare supplement benefit plans
- Section 20:06:13:17.06 - Make-up of standardized benefit plans
- Section 20:06:13:17.07 - Suspension of coverage during period of eligibility for Medicaid
- Section 20:06:13:17.08 - Reinstitution of coverage following loss of eligibility for Medicaid
- Section 20:06:13:17.09 - Suspension requested by policyholder
- Section 20:06:13:17.10 - Prescription drug benefits under Medicare supplement plans
- Section 20:06:13:17.11 - General standards for standardized Medicare supplement benefit plan - Issued for delivery after May 31, 2010
- Section 20:06:13:17.12 - Standards for basic core benefits common to Medicare supplement insurance benefit Plans A, B, C, D, F, F with High Deductible, G, M, and N
- Section 20:06:13:17.13 - Standards for additional benefits
- Section 20:06:13:17.14 - Requirements for standard Medicare supplement benefit plans - Plans issued after May 31, 2010
- Section 20:06:13:17.15 - Make-up of standardized benefit plans - Issued after May 31, 2010
- Section 20:06:13:17.16 - Standard Medicare supplement benefit plans for 2020 standardized Medicare supplement benefit plan policies or certificates issued for delivery to individuals newly eligible for Medicare after December 31, 2019
- Section 20:06:13:18 - Premium adjustments to match Medicare benefit adjustments
- Section 20:06:13:19 - Renewability
- Section 20:06:13:20 - Extended benefits on termination of insurance
- Section 20:06:13:21 - Loss ratio standards
- Section 20:06:13:21.01 - Refund or credit calculation
- Section 20:06:13:22 - Annual filing of premium rates
- Section 20:06:13:22.01 - Filing of premium adjustments after Medicare benefit change
- Section 20:06:13:22.02 - Public hearings
- Section 20:06:13:22.03 - Filing and approval of policies and certificates and of premium rates required
- Section 20:06:13:22.04 - One policy or certificate form allowed - Exceptions
- Section 20:06:13:22.05 - Discontinuance of availability
- Section 20:06:13:22.06 - Combination of experience for calculation of refund or credit
- Section 20:06:13:22.07 - New or innovative benefits - Policy or certificate form allowed - Exceptions - issued after May 31, 2010
- Section 20:06:13:23 - Rate increases.Repealed
- Section 20:06:13:24 - Disclosure of preexisting conditions
- Section 20:06:13:25 - Increased benefits after issue
- Section 20:06:13:26 - Separate additional premium disclosure
- Section 20:06:13:27 - Buyer's guide
- Section 20:06:13:28 - Delivery of buyer's guide
- Section 20:06:13:29 - Use of term "Medicare supplement."
- Section 20:06:13:30 - Disclosure requirements for policies or subscriber contracts that are not Medicare supplement policies
- Section 20:06:13:31 - Notice requirements for policies or certificates that are not Medicare supplement policies
- Section 20:06:13:31.01 - Disclosure requirements for Medicare supplement policies - Riders and endorsements
- Section 20:06:13:31.02 - "Usual," "customary," and "reasonable" requirements prohibited
- Section 20:06:13:31.03 - Right of return
- Section 20:06:13:32 - Requirements concerning application forms and replacement coverage
- Section 20:06:13:32.01 - Transferred
- Section 20:06:13:32.02 - Disclosure by agent
- Section 20:06:13:33 - Replacement requirements for agents. Repealed
- Section 20:06:13:34 - Replacement requirements for direct response insurers
- Section 20:06:13:35 - Notice of replacement
- Section 20:06:13:36 - Outline of coverage requirements
- Section 20:06:13:37 - Delivery of outline of coverage
- Section 20:06:13:38 - Revisions of outline of coverage
- Section 20:06:13:39 - Outline of coverage requirements for "usual and customary" benefits. Repealed
- Section 20:06:13:40 - Style and arrangement for outline of coverage
- Section 20:06:13:41 - Supplemental disclosure form.Repealed
- Section 20:06:13:42 - Variable information for supplemental disclosure form. Repealed
- Section 20:06:13:43 - Overinsurance
- Section 20:06:13:43.01 - Misrepresentation - Unfair or deceptive trade practices
- Section 20:06:13:43.02 - Determination of suitability
- Section 20:06:13:43.03 - Medicare supplement and Medicare Part C (Medicare Advantage) or Medicare Cost duplication
- Section 20:06:13:44 - Failure to provide required forms
- Section 20:06:13:45 - Refund in replacement situations
- Section 20:06:13:46 - Coverage replaced within the same company
- Section 20:06:13:47 - Insurance replaced by the same agent
- Section 20:06:13:48 - Payment and recognition of physicians. Repealed
- Section 20:06:13:49 - Requirements for claims payment
- Section 20:06:13:50 - Policy classification - Requirements and limitations
- Section 20:06:13:51 - Notice of benefit change
- Section 20:06:13:52 - Filing of policies to comply with Medicare changes. Repealed
- Section 20:06:13:53 - Duplication of coverage prohibited
- Section 20:06:13:54 - Reinstitution of coverage. Repealed
- Section 20:06:13:55 - Exception to reinstitution of coverage
- Section 20:06:13:56 - Continuation and conversion rights
- Section 20:06:13:57 - Standards for marketing
- Section 20:06:13:58 - Marketing practices prohibited
- Section 20:06:13:58.01 - Health insurance advertisement rate disclosures
- Section 20:06:13:58.02 - Health insurance advertisement disclosure statements
- Section 20:06:13:59 - Reporting of multiple policies
- Section 20:06:13:60 - Cancellation or nonrenewal of policies
- Section 20:06:13:60.01 - Guaranteed renewable with benefit changes
- Section 20:06:13:61 - Agent compensation limited
- Section 20:06:13:62 - Requirements of insurers. Repealed
- Section 20:06:13:63 - Medicare select policies and certificates
- Section 20:06:13:64 - Medicare select authorization
- Section 20:06:13:65 - Approval required for issuance
- Section 20:06:13:66 - Filing plan of operation
- Section 20:06:13:67 - Filing of changes
- Section 20:06:13:68 - Network restrictions
- Section 20:06:13:69 - Coverage for unavailable services
- Section 20:06:13:70 - Disclosure and outline of coverage requirements
- Section 20:06:13:71 - Applicant signature required
- Section 20:06:13:72 - Complaints and grievances
- Section 20:06:13:73 - Required offer of other Medicare supplement coverage
- Section 20:06:13:74 - Required offer of replacement coverage without a restricted network provision
- Section 20:06:13:75 - Continuation
- Section 20:06:13:76 - Compliance with data requests
- Section 20:06:13:77 - Creditable coverage
- Section 20:06:13:78 - Medicare Advantage plan
- Section 20:06:13:79 - Guaranteed issue
- Section 20:06:13:80 - Guaranteed issue - Eligible persons
- Section 20:06:13:80.01 - Guaranteed issue time periods
- Section 20:06:13:80.02 - Extended medigap access for interrupted trial periods
- Section 20:06:13:81 - Guaranteed issue - Products to which eligible persons are entitled
- Section 20:06:13:82 - Guaranteed issue - Notification provisions
- Section 20:06:13:83 - Open enrollment
- Section 20:06:13:84 - Open enrollment required for Medicare eligible individuals regardless of age
- Section 20:06:13:85 - Notice requirements
- Section 20:06:13:86 - Exchanging of standardized plan
- Section 20:06:13:86.01 - Exchanging of standardized plan - Age rate schedule
- Section 20:06:13:86.02 - Exchanging of standardized plan - Rating class
- Section 20:06:13:86.03 - Exchanging of standardized plan - Preexisting conditions and incontestability period
- Section 20:06:13:86.04 - Exchanging of standardized plan - Offering
- Section 20:06:13:87 - Applicability of genetic information
- Section 20:06:13:88 - Definitions applicable to genetic information
- Section 20:06:13:89 - Use of genetic information
- Section 20:06:13:90 - Request of genetic testing
- Section 20:06:13:91 - Requirement of genetic testing
- Section 20:06:13:92 - Genetic information - Underwriting purposes and enrollment
- Appendix A - Medicare Supplement Refund Calculation Forms
- Appendix B - Form for Reporting Medicare Supplement Policies
- Appendix C - Notice to Applicant Regarding Replacement of Medicare Supplement Insurance
- Appendix D - Outline of Medicare Supplement Coverage Policies Plans A Through N
- Appendix E - Instructions for Use of the Disclosure Statements for Health Insurance Policies Sold to Medicare Beneficiaries that Duplicate Medicare