Section R590-146-9b - Standard Plans for 2020 Standardized Plans Issued for Delivery to Individuals Newly Eligible for Medicare on or After January 1, 2020The standards in this section are applicable to any 2020 plan delivered or issued for delivery in this state to an individual newly eligible for Medicare with an effective date of coverage on or after January 1, 2020. A policy or certificate that provides coverage of the Medicare Part B deductible may not be advertised, solicited, delivered, or issued for delivery in this state as a Medicare supplement insurance policy or certificate to an individual newly eligible for Medicare on or after January 1, 2020. A policy or certificate may not be advertised, solicited, delivered, or issued for delivery unless it complies with the standards in this section.
(1) The standards and requirements of Section R590-146-9a apply to a 2020 plan except:(a) Plan C is redesignated as Plan D and shall provide the benefits in Subsection R590-146-9a(5)(c) but may not provide coverage for any portion of the Medicare Part B deductible;(b) Plan F is redesignated as Plan G and shall provide the benefits in Subsection R590-146-9a(5)(e) but may not provide coverage for any portion of the Medicare Part B deductible;(c) Plan C, F, or High Deductible F may not be offered to an individual newly eligible for Medicare on or after January 1, 2020;(d) Plan High Deductible F is redesignated as Plan High Deductible G and shall provide the benefits in Subsection R590-146-9a(5)(f) but may not provide coverage for any portion of the Medicare Part B deductible, provided that the Medicare Part B deductible paid by the insured is considered an out-of-pocket expense in meeting the annual high deductible; and(e) the reference to Plan C or F under Subsection R590-146-9a(1)(b) is considered a reference to Plan D or G for purposes of this section.(2) This section applies to an individual who is newly eligible for Medicare on or after January 1, 2020: (a) by reason of attaining age 65 on or after January 1, 2020; or(b) by reason of entitlement to benefits under Medicare Part A pursuant to Section 226(b) or 226A of the Social Security Act, or who is considered to be eligible for benefits under Section 226(a) of the Social Security Act on or after January 1, 2020.(3) For purposes of Subsection R590-146-12(5), in the case of an individual who is newly eligible for Medicare on or after January 1, 2020, a reference to Plan C or F, including High Deductible F, shall be deemed to be a reference to Plan D or G, including High Deductible G, respectively, that meet the requirements of this section.(4) On or after January 1, 2020, the plans under Subsection (1)(d) may be offered to an individual who was eligible for Medicare prior to January 1, 2020, in addition to the standardized plans under Subsection R590-146-9a(5).Utah Admin. Code R590-146-9b
Adopted by Utah State Bulletin Number 2019-13, effective 6/7/2019Adopted by Utah State Bulletin Number 2024-16, effective 8/7/2024