ARTICLE 6. Medicare Supplement Policies
Article 6 repealed and added by Stats. 2000, Ch. 706, Sec. 4.
§§ 10192.1–10192.24 · 31 sections
- § 10192.1 All Medicare supplement policies and certificates shall comply with the provisions of subdivision (b) of Section 10291.5 and Chapter 7 (commencing with Section…
- § 10192.2 The purpose of this article is to provide for the reasonable standardization of coverage and simplification of terms and benefits of Medicare supplement…
- § 10192.3 (a) Except as otherwise provided in this section or in Sections 10192.7, 10192.12, 10192.13, 10192.16, and 10192.21, this article shall apply to all Medicare…
- § 10192.4 The following definitions apply for the purposes of this article: (a) “Applicant” means: (1) The person who seeks to contract for insurance benefits, in the…
- § 10192.5 A policy or certificate shall not be advertised, solicited, or issued for delivery as a Medicare supplement policy or certificate unless the policy or…
- § 10192.55 (a) With regard to Medicare supplement policies, all insurers, brokers, agents, and others engaged in the business of insurance owe a policyholder or a…
- § 10192.6 (a) Except for permitted preexisting condition clauses as described in Sections 10192.7, 10192.8, and 10192.81, a policy or certificate shall not be…
- § 10192.7 A policy or certificate shall not be advertised, solicited, or issued for delivery as a Medicare supplement policy or certificate prior to January 1, 2001,…
- § 10192.8 The following standards are applicable to all Medicare supplement policies or certificates advertised, solicited, or issued for delivery on or after January 1,…
- § 10192.81 The following standards are applicable to all Medicare supplement policies or certificates delivered or issued for delivery in this state with an effective…
- § 10192.9 The following standards are applicable to all Medicare supplement policies or certificates delivered or issued for delivery in this state on or after July 1,…
- § 10192.91 The following standards are applicable to all Medicare supplement policies or certificates delivered or issued for delivery in this state with an effective…
- § 10192.92 The following standards are applicable to all Medicare supplement policies or certificates delivered or issued for delivery in this state to individuals newly…
- § 10192.10 (a) (1) This section shall apply to Medicare Select policies and certificates, as defined in this section. (2) A policy or certificate shall not be advertised…
- § 10192.11 (a) (1) An issuer shall not deny or condition the issuance or effectiveness of any Medicare supplement policy or certificate available for sale in this state,…
- § 10192.12 (a) (1) With respect to the guaranteed issue of a Medicare supplement policy, eligible persons are those individuals described in subdivision (b) who seek to…
- § 10192.13 (a) An issuer shall comply with Section 1882(c)(3) of the federal Social Security Act (as enacted by Section 4081(b)(2)(C) of the federal Omnibus Budget…
- § 10192.14 (a) (1) (A) With respect to loss ratio standards, a Medicare supplement policy form or certificate form shall not be advertised, solicited, or issued for…
- § 10192.15 (a) An issuer shall not advertise, solicit, or issue for delivery a policy or certificate to a resident of this state unless the policy form or certificate…
- § 10192.16 (a) An issuer or other entity may provide commission or other compensation to an agent or other representative for the sale of a Medicare supplement policy or…
- § 10192.165 (a) (1) As prescribed in this chapter, the commissioner shall have the administrative authority to assess penalties against issuers, brokers, agents, and other…
- § 10192.17 (a) Medicare supplement policies and certificates shall include a renewal, continuation, or conversion provision. The language or specifications of the…
- § 10192.18 (a) Application forms shall include the following questions designed to elicit information as to whether, as of the date of the application, the applicant…
- § 10192.185 In addition to any other requirements of law, the following shall apply to a Medicare supplement policy: (a) The issuer shall not require an amount greater…
- § 10192.19 (a) An issuer shall provide a copy of any Medicare supplement advertisement intended for use in this state whether through written, radio, or television medium…
- § 10192.195 The commissioner may prescribe by regulation a standard form and the contents of an informational brochure for persons eligible for Medicare by reason of age…
- § 10192.20 (a) An issuer, directly or through its producers, shall do each of the following: (1) Establish marketing procedures to ensure that any comparison of policies…
- § 10192.21 (a) In recommending the purchase or replacement of any Medicare supplement policy or certificate, an agent shall make reasonable efforts to determine the…
- § 10192.22 (a) On or before March 1 of each year, an issuer shall report the following information for every individual resident of this state for which the issuer has in…
- § 10192.23 (a) If a Medicare supplement policy or certificate replaces another Medicare supplement policy or certificate, the replacing issuer shall waive any time…
- § 10192.24 This section applies to all policies with policy years beginning on or after May 21, 2009. (a) In addition to the requirements set forth under Sections 10140…