210 Neb. Admin. Code, ch. 48, § 006 - Requirements for new policies and certificates
006.01A Effective January 1, 1989, no
Medicare supplement insurance policy, subscriber contract, or certificate shall
be issued or issued for delivery in this state which provides benefits which
duplicate benefits provided by Medicare. No such policy, subscriber contract or
certificate shall provide less benefits than those required under existing
Medicare Supplement Insurance Minimum Standards Act or Regulations except where
duplication of Medicare benefits would result.
006.01B General Requirements
006.01B(1) Within ninety (90) days of the
effective date of this regulation, every insurer, health care service plan,
hospital and medical service association or health maintenance organization
required to file its policies or subscriber contracts with this state shall
file new Medicare supplement insurance policies or subscriber contracts which
eliminate any duplication of Medicare supplement benefits with benefits
provided by Medicare and which provides a clear description of the policy or
contract benefit.
006.01B(2) The
filing required under subsection
006.01B(1) shall
provide for loss ratios which are in compliance with all minimum standards.
006.01B(3) Every applicant for a
Medicare supplement insurance policy, subscriber 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.
Notes
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