58-17A MEDICARE SUPPLEMENT POLICIES
MEDICARE SUPPLEMENT POLICIES
Definition of terms.
Regulations to establish specific standards for policy provisions.
Preexisting conditions--Policy provisions.
Preexisting conditions provision prohibited in replacement policy--Exception.
Reasonable benefits required--Regulations to establish minimum standard from loss
ratios--Policies issued through mail or mass media advertising.
Outline of coverage delivered at time of application for insurance.
Health insurance policies--Requirements for information regarding medicare
Notice of right to return and right to premium refund printed in medicare supplement
policies and certificates--Payment of refund.
Issuance of policies by insurance company, nonprofit hospital service plan, medical
service corporation, or fraternal benefit society--Delivery receipts--Certificates of
mailing--Term of retention.
Regulations subject to Administrative Procedures Act.
Filing requirements--Master policy--Rates, rating schedules, and supporting
documentation--Riders or amendments to delete outpatient prescription drug benefits.
Premiums to be adjusted to produce a loss ratio conforming with minimum
standards--Form of adjustments.
Review of advertisements of issuers providing medicare supplement insurance.
Requirements for replacement of policy.
Sale of second policy prohibited except as replacement--Liability of issuer.
Additional penalties for violation of title.
Conditional or discriminatory policy or certificate prohibited.