18 Del. Admin. Code § 1502-6.0

Current through Register Vol. 28, No. 5, November 1, 2024

Section 1502-6.0 - Requirements for New Policies and Certificates

6.1 Effective January 1, 1989, no medicare supplement insurance policy, 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, contract or certificate shall provide less benefits than those required under existing Medicare Supplement Minimum Standards Act or Regulations except where duplication of Medicare benefits would result.

6.2 General Requirements

6.2.1 Within ninety (90) days of the effective date of this regulation, every insurer, health care service plan or other entity required to file its policies or contracts with this state shall file new medicare supplement insurance policies or 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.

6.2.2 The filing required under section 6.2.1 shall provide for loss ratios which are in compliance with all minimum standards.

6.2.3 Every applicant for a medicare supplement insurance policy, 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.

18 Del. Admin. Code § 1502-6.0