California Code of Regulations
Title 10 - Investment
Chapter 5 - Insurance Commissioner
Subchapter 2 - Policy Forms and Other Documents
Article 1.6 - Medicare Supplement Coverage
Section 2220.51 - Definition

"Medicare Supplement Coverage" is accident and sickness insurance which is designed primarily to supplement Medicare, or is advertised, marketed, or otherwise purported to be a supplement to Medicare and which meets the requirements of the following rules and standards applicable to any such insurance sold to a person eligible for Medicare by reason of age. It includes any individual, family, selected group ("franchise") or group disability insurance policy (and certificate) issued in this state, any certificate delivered in this state pursuant to a group master policy issued in another state, and any individual, family or group benefit agreement issued by a non-profit hospital service plan. It excludes group policies issued to one or more employers or labor organizations, or to the trustees of a fund established by one or more employers or labor organizations, or combinations thereof, for employees or former employees, or combinations thereof, for employees or former employees, or combinations thereof, of the labor organization. It also excludes individual policies or contracts issued pursuant to a conversion privilege in a policy or contract of group or individual insurance when the group or individual policy contract includes provisions which are inconsistent with the requirements of this Article.

Note: Authority cited: Section 10291.5(c), Insurance Code. Reference: Sections 10195 and 10291.5 (b) (7), Insurance Code.