MEDICARE SUPPLEMENT INSURANCE
20:06:13:02.01 Requirements for definition of "accident" and similar words in policies.
20:06:13:02.02 Requirements for definitions in policies.
20:06:13:14 Eligible expenses under Medicare.
20:06:13:16 Waiver of coverage not allowed.
20:06:13:17 Applicability of benefit standards.
20:06:13:17.02 General standards for 1990 standardized Medicare supplement benefit plans.
20:06:13:17.03 Standards for basic core benefits for 1990 standardized Medicare supplement benefit plans.
20:06:13:17.04 Standards for additional benefits for 1990 standardized Medicare supplement benefit plans.
20:06:13:17.05 Requirements for standard Medicare supplement benefit plans.
20:06:13:17.06 Make-up of standardized benefit plans.
20:06:13:17.07 Suspension of coverage during period of eligibility for Medicaid.
20:06:13:17.08 Reinstitution of coverage following loss of eligibility for Medicaid.
20:06:13:17.09 Suspension requested by policyholder.
20:06:13:17.10 Prescription drug benefits under Medicare supplement plans.
20:06:13:17.11 General standards for standardized Medicare supplement benefit plan -- Issued for delivery after May 31, 2010.
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.
20:06:13:17.13 Standards for additional benefits.
20:06:13:17.14 Requirements for standard Medicare supplement benefit plans -- Plans issued after May 31, 2010.
20:06:13:17.15 Make-up of standardized benefit plans -- Issued after May 31, 2010.
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.
20:06:13:18 Premium adjustments to match Medicare benefit adjustments.
20:06:13:20 Extended benefits on termination of insurance.
20:06:13:21 Loss ratio standards.
20:06:13:21.01 Refund or credit calculation.
20:06:13:22 Annual filing of premium rates.
20:06:13:22.01 Filing of premium adjustments after Medicare benefit change.
20:06:13:22.02 Public hearings.
20:06:13:22.03 Filing and approval of policies and certificates and of premium rates required.
20:06:13:22.04 One policy or certificate form allowed -- Exceptions.
20:06:13:22.05 Discontinuance of availability.
20:06:13:22.06 Combination of experience for calculation of refund or credit.
20:06:13:22.07 New or innovative benefits -- Policy or certificate form allowed -- Exceptions -- issued after May 31, 2010.
20:06:13:24 Disclosure of preexisting conditions.
20:06:13:25 Increased benefits after issue.
20:06:13:26 Separate additional premium disclosure.
20:06:13:27 Buyer's guide.
20:06:13:28 Delivery of buyer's guide.
20:06:13:29 Use of term "Medicare supplement."
20:06:13:30 Disclosure requirements for policies or subscriber contracts that are not Medicare supplement policies.
20:06:13:31 Notice requirements for policies or certificates that are not Medicare supplement policies.
20:06:13:31.01 Disclosure requirements for Medicare supplement policies -- Riders and endorsements.
20:06:13:31.02 "Usual," "customary," and "reasonable" requirements prohibited.
20:06:13:31.03 Right of return.
20:06:13:32 Requirements concerning application forms and replacement coverage.
20:06:13:32.02 Disclosure by agent.
20:06:13:34 Replacement requirements for direct response insurers.
20:06:13:35 Notice of replacement.
20:06:13:36 Outline of coverage requirements.
20:06:13:37 Delivery of outline of coverage.
20:06:13:38 Revisions of outline of coverage.
20:06:13:40 Style and arrangement for outline of coverage.
20:06:13:43.01 Misrepresentation -- Unfair or deceptive trade practices.
20:06:13:43.02 Determination of suitability.
20:06:13:43.03 Medicare supplement and Medicare Part C (Medicare Advantage) or Medicare Cost duplication.
20:06:13:44 Failure to provide required forms.
20:06:13:45 Refund in replacement situations.
20:06:13:46 Coverage replaced within the same company.
20:06:13:47 Insurance replaced by the same agent.
20:06:13:49 Requirements for claims payment.
20:06:13:50 Policy classification -- Requirements and limitations.
20:06:13:51 Notice of benefit change.
20:06:13:53 Duplication of coverage prohibited.
20:06:13:55 Exception to reinstitution of coverage.
20:06:13:56 Continuation and conversion rights.
20:06:13:57 Standards for marketing.
20:06:13:58 Marketing practices prohibited.
20:06:13:58.01 Health insurance advertisement rate disclosures
20:06:13:58.02 Health insurance advertisement disclosure statements.
20:06:13:59 Reporting of multiple policies.
20:06:13:60 Cancellation or nonrenewal of policies.
20:06:13:60.01 Guaranteed renewable with benefit changes.
20:06:13:61 Agent compensation limited.
20:06:13:63 Medicare select policies and certificates.
20:06:13:64 Medicare select authorization.
20:06:13:65 Approval required for issuance.
20:06:13:66 Filing plan of operation.
20:06:13:67 Filing of changes.
20:06:13:68 Network restrictions.
20:06:13:69 Coverage for unavailable services.
20:06:13:70 Disclosure and outline of coverage requirements.
20:06:13:71 Applicant signature required.
20:06:13:72 Complaints and grievances.
20:06:13:73 Required offer of other Medicare supplement coverage.
20:06:13:74 Required offer of replacement coverage without a restricted network provision.
20:06:13:76 Compliance with data requests.
20:06:13:77 Creditable coverage.
20:06:13:78 Medicare Advantage plan.
20:06:13:79 Guaranteed issue.
20:06:13:80 Guaranteed issue -- Eligible persons.
20:06:13:80.01 Guaranteed issue time periods.
20:06:13:80.02 Extended medigap access for interrupted trial periods.
20:06:13:81 Guaranteed issue -- Products to which eligible persons are entitled.
20:06:13:82 Guaranteed issue -- Notification provisions.
20:06:13:83 Open enrollment.
20:06:13:84 Open enrollment required for Medicare eligible individuals regardless of age.
20:06:13:85 Notice requirements.
20:06:13:86 Exchanging of standardized plan.
20:06:13:86.01 Exchanging of standardized plan -- Age rate schedule.
20:06:13:86.02 Exchanging of standardized plan -- Rating class.
20:06:13:86.03 Exchanging of standardized plan -- Preexisting conditions and incontestability period.
20:06:13:86.04 Exchanging of standardized plan -- Offering.
20:06:13:87 Applicability of genetic information.
20:06:13:88 Definitions applicable to genetic information.
20:06:13:89 Use of genetic information.
20:06:13:90 Request of genetic testing.
20:06:13:91 Requirement of genetic testing.
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.