W. Va. Code R. § 114-24-1

Current through Register Vol. XLI, No. 50, December 13, 2024

Section 114-24-1 - General

1.1. Scope. -- The purpose of this rule is to provide for the reasonable standardization of coverage and simplification of terms and benefits of Medicare supplement policies; to facilitate public understanding and comparison of these policies; to eliminate provisions contained in these policies which may be misleading or confusing in connection with the purchase of these policies or with the settlement of claims; and to provide for full disclosures in the sale of accident and sickness insurance coverages to persons eligible for Medicare. This rule is based on the National Association of Insurance Commissioners' "Model Regulation to Implement the NAIC Medicare Supplement Insurance Minimum Standards Model Act" (Model 651), as amended in 2016.

1.2. Authority. -- W. Va. Code §§ 33-28-5b, 33-2-10, and 33-16-3d.

1.3. Filing Date. -- February 27, 2020.

1.4. Effective Date. -- April 1, 2020.

1.5. Sunset provision. -- This rule shall terminate and have no further force or effect upon April 1, 2025.

1.6. Applicability. -- This legislative rule amends West Virginia 114CSR24 "Medicare Supplement Insurance" filed April 14, 2010 and effective on April 14, 2010. Except as otherwise specifically provided, this rule shall apply to:

1.6.a. All Medicare supplement policies delivered or issued for delivery in this state or which are otherwise subject to the jurisdiction of this state on or after the effective date hereof; and

1.6.b. All certificates issued under group Medicare supplement policies, which certificates have been delivered or issued for delivery in this state.

1.6.c. This rule shall not apply to a policy or contract of one or more employers or labor organizations, or of the trustees of a fund established by one or more employers or labor organizations, or a combination thereof, for employees or former employees, or a combination thereof, or for members or former members, or a combination thereof, of the labor organizations.

W. Va. Code R. § 114-24-1