Chapter 20:06:13 - Medicare supplement insurance

  1. § 20:06:13:01 - Disclosure form required.Repealed
  2. § 20:06:13:02 - Definitions
  3. § 20:06:13:02.01 - Requirements for definition of "accident" and similar words in policies
  4. § 20:06:13:02.02 - Requirements for definitions in policies
  5. § 20:06:13:03 - Applicability
  6. § 20:06:13:04 - Allowed restrictions on coverage of accidents.Repealed
  7. § 20:06:13:05 - Effects of other insurance and coverage of accidents.Repealed
  8. § 20:06:13:06 - Restrictions for accidents while employed.Repealed
  9. § 20:06:13:07 - Denial of benefits to persons in skilled nursing facilities prohibited.Repealed
  10. § 20:06:13:08 - Skilled nursing facility - Exclusions.Repealed
  11. § 20:06:13:09 - Hospital reimbursement by nonprofit plans.Repealed
  12. § 20:06:13:10 - Mental or emotional disorders - Limitations and exclusions.Repealed
  13. § 20:06:13:11 - Nurse - Description of classes.Repealed
  14. § 20:06:13:12 - Coverage of sickness - Allowed restrictions.Repealed
  15. § 20:06:13:13 - Coverage of sickness - Other insurance. Repealed
  16. § 20:06:13:14 - Eligible expenses under Medicare
  17. § 20:06:13:14.01 - Health care expenses defined - Exclusions.Repealed
  18. § 20:06:13:15 - Permitted policy limitations and exclusions. Repealed
  19. § 20:06:13:16 - Waiver of coverage not allowed
  20. § 20:06:13:17 - Applicability of benefit standards
  21. § 20:06:13:17.01 - Benefits restored. Repealed
  22. § 20:06:13:17.02 - General standards for 1990 standardized Medicare supplement benefit plans
  23. § 20:06:13:17.03 - Standards for basic core benefits for 1990 standardized Medicare supplement benefit plans
  24. § 20:06:13:17.04 - Standards for additional benefits for 1990 standardized Medicare supplement benefit plans
  25. § 20:06:13:17.05 - Requirements for standard Medicare supplement benefit plans
  26. § 20:06:13:17.06 - Make-up of standardized benefit plans
  27. § 20:06:13:17.07 - Suspension of coverage during period of eligibility for Medicaid
  28. § 20:06:13:17.08 - Reinstitution of coverage following loss of eligibility for Medicaid
  29. § 20:06:13:17.09 - Suspension requested by policyholder
  30. § 20:06:13:17.10 - Prescription drug benefits under Medicare supplement plans
  31. § 20:06:13:17.11 - General standards for standardized Medicare supplement benefit plan - Issued for delivery after May 31, 2010
  32. § 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
  33. § 20:06:13:17.13 - Standards for additional benefits
  34. § 20:06:13:17.14 - Requirements for standard Medicare supplement benefit plans - Plans issued after May 31, 2010
  35. § 20:06:13:17.15 - Make-up of standardized benefit plans - Issued after May 31, 2010
  36. § 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
  37. § 20:06:13:18 - Premium adjustments to match Medicare benefit adjustments
  38. § 20:06:13:19 - Renewability
  39. § 20:06:13:20 - Extended benefits on termination of insurance
  40. § 20:06:13:21 - Loss ratio standards
  41. § 20:06:13:21.01 - Refund or credit calculation
  42. § 20:06:13:22 - Annual filing of premium rates
  43. § 20:06:13:22.01 - Filing of premium adjustments after Medicare benefit change
  44. § 20:06:13:22.02 - Public hearings
  45. § 20:06:13:22.03 - Filing and approval of policies and certificates and of premium rates required
  46. § 20:06:13:22.04 - One policy or certificate form allowed - Exceptions
  47. § 20:06:13:22.05 - Discontinuance of availability
  48. § 20:06:13:22.06 - Combination of experience for calculation of refund or credit
  49. § 20:06:13:22.07 - New or innovative benefits - Policy or certificate form allowed - Exceptions - issued after May 31, 2010
  50. § 20:06:13:23 - Rate increases.Repealed
  51. § 20:06:13:24 - Disclosure of preexisting conditions
  52. § 20:06:13:25 - Increased benefits after issue
  53. § 20:06:13:26 - Separate additional premium disclosure
  54. § 20:06:13:27 - Buyer's guide
  55. § 20:06:13:28 - Delivery of buyer's guide
  56. § 20:06:13:29 - Use of term "Medicare supplement."
  57. § 20:06:13:30 - Disclosure requirements for policies or subscriber contracts that are not Medicare supplement policies
  58. § 20:06:13:31 - Notice requirements for policies or certificates that are not Medicare supplement policies
  59. § 20:06:13:31.01 - Disclosure requirements for Medicare supplement policies - Riders and endorsements
  60. § 20:06:13:31.02 - "Usual," "customary," and "reasonable" requirements prohibited
  61. § 20:06:13:31.03 - Right of return
  62. § 20:06:13:32 - Requirements concerning application forms and replacement coverage
  63. § 20:06:13:32.01 - Transferred
  64. § 20:06:13:32.02 - Disclosure by agent
  65. § 20:06:13:33 - Replacement requirements for agents. Repealed
  66. § 20:06:13:34 - Replacement requirements for direct response insurers
  67. § 20:06:13:35 - Notice of replacement
  68. § 20:06:13:36 - Outline of coverage requirements
  69. § 20:06:13:37 - Delivery of outline of coverage
  70. § 20:06:13:38 - Revisions of outline of coverage
  71. § 20:06:13:39 - Outline of coverage requirements for "usual and customary" benefits. Repealed
  72. § 20:06:13:40 - Style and arrangement for outline of coverage
  73. § 20:06:13:41 - Supplemental disclosure form.Repealed
  74. § 20:06:13:42 - Variable information for supplemental disclosure form. Repealed
  75. § 20:06:13:43 - Overinsurance
  76. § 20:06:13:43.01 - Misrepresentation - Unfair or deceptive trade practices
  77. § 20:06:13:43.02 - Determination of suitability
  78. § 20:06:13:43.03 - Medicare supplement and Medicare Part C (Medicare Advantage) or Medicare Cost duplication
  79. § 20:06:13:44 - Failure to provide required forms
  80. § 20:06:13:45 - Refund in replacement situations
  81. § 20:06:13:46 - Coverage replaced within the same company
  82. § 20:06:13:47 - Insurance replaced by the same agent
  83. § 20:06:13:48 - Payment and recognition of physicians. Repealed
  84. § 20:06:13:49 - Requirements for claims payment
  85. § 20:06:13:50 - Policy classification - Requirements and limitations
  86. § 20:06:13:51 - Notice of benefit change
  87. § 20:06:13:52 - Filing of policies to comply with Medicare changes. Repealed
  88. § 20:06:13:53 - Duplication of coverage prohibited
  89. § 20:06:13:54 - Reinstitution of coverage. Repealed
  90. § 20:06:13:55 - Exception to reinstitution of coverage
  91. § 20:06:13:56 - Continuation and conversion rights
  92. § 20:06:13:57 - Standards for marketing
  93. § 20:06:13:58 - Marketing practices prohibited
  94. § 20:06:13:58.01 - Health insurance advertisement rate disclosures
  95. § 20:06:13:58.02 - Health insurance advertisement disclosure statements
  96. § 20:06:13:59 - Reporting of multiple policies
  97. § 20:06:13:60 - Cancellation or nonrenewal of policies
  98. § 20:06:13:60.01 - Guaranteed renewable with benefit changes
  99. § 20:06:13:61 - Agent compensation limited
  100. § 20:06:13:62 - Requirements of insurers. Repealed
  101. § 20:06:13:63 - Medicare select policies and certificates
  102. § 20:06:13:64 - Medicare select authorization
  103. § 20:06:13:65 - Approval required for issuance
  104. § 20:06:13:66 - Filing plan of operation
  105. § 20:06:13:67 - Filing of changes
  106. § 20:06:13:68 - Network restrictions
  107. § 20:06:13:69 - Coverage for unavailable services
  108. § 20:06:13:70 - Disclosure and outline of coverage requirements
  109. § 20:06:13:71 - Applicant signature required
  110. § 20:06:13:72 - Complaints and grievances
  111. § 20:06:13:73 - Required offer of other Medicare supplement coverage
  112. § 20:06:13:74 - Required offer of replacement coverage without a restricted network provision
  113. § 20:06:13:75 - Continuation
  114. § 20:06:13:76 - Compliance with data requests
  115. § 20:06:13:77 - Creditable coverage
  116. § 20:06:13:78 - Medicare Advantage plan
  117. § 20:06:13:79 - Guaranteed issue
  118. § 20:06:13:80 - Guaranteed issue - Eligible persons
  119. § 20:06:13:80.01 - Guaranteed issue time periods
  120. § 20:06:13:80.02 - Extended medigap access for interrupted trial periods
  121. § 20:06:13:81 - Guaranteed issue - Products to which eligible persons are entitled
  122. § 20:06:13:82 - Guaranteed issue - Notification provisions
  123. § 20:06:13:83 - Open enrollment
  124. § 20:06:13:84 - Open enrollment required for Medicare eligible individuals regardless of age
  125. § 20:06:13:85 - Notice requirements
  126. § 20:06:13:86 - Exchanging of standardized plan
  127. § 20:06:13:86.01 - Exchanging of standardized plan - Age rate schedule
  128. § 20:06:13:86.02 - Exchanging of standardized plan - Rating class
  129. § 20:06:13:86.03 - Exchanging of standardized plan - Preexisting conditions and incontestability period
  130. § 20:06:13:86.04 - Exchanging of standardized plan - Offering
  131. § 20:06:13:87 - Applicability of genetic information
  132. § 20:06:13:88 - Definitions applicable to genetic information
  133. § 20:06:13:89 - Use of genetic information
  134. § 20:06:13:90 - Request of genetic testing
  135. § 20:06:13:91 - Requirement of genetic testing
  136. § 20:06:13:92 - Genetic information - Underwriting purposes and enrollment
  137. Appendix A - Medicare Supplement Refund Calculation Forms, version 4
  138. Appendix B - Form for Reporting Medicare Supplement Policies, version 3
  139. Appendix C - Notice to Applicant Regarding Replacement of Medicare Supplement Insurance, version 2
  140. Appendix D - Outline of Medicare Supplement Coverage Policies Plans A Through N, version 3
  141. Appendix E - Instructions for Use of the Disclosure Statements for Health Insurance Policies Sold to Medicare Beneficiaries that Duplicate Medicare, version 2

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