Code of Maine Rules
02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
031 - BUREAU OF INSURANCE
Chapter 270 - MEDICARE SUPPLEMENT INSURANCE RULE - REVISED
Section 031-270-4 - Definitions
Current through 2024-13, March 27, 2024
For purposes of this Rule:
(A) "Applicant" means:
(B) "Certificate" means any certificate issued under a group Medicare supplement policy delivered or issued for delivery in this State.
(C) "Insurance policy" or "policy" for purposes of this Rule also includes an individual or group contract for benefits to be provided by a health maintenance organization or by a nonprofit hospital or medical service organization.
(D) "Limited benefit health insurance" means any accident or health insurance policy, issued for delivery in this State to persons eligible for Medicare by reason of age, other than a Medicare supplement policy which meets the standards contained in 24-A M.R.S.A. Chapter 67 and in this Rule or a policy issued pursuant to a contract under Section 1876 of the Federal Social Security Act ( 42 U.S.C. § 1395 et seq.). In particular, this term includes: any disability income policy; any basic, catastrophic, or major medical expense policy; any single premium nonrenewable policy; and any policy identified in Section 3(C) of this Rule.
(E) "Medicare" means the United States Health Insurance for the Aged Act, Title XVIII of the Social Security Amendments of 1965, Public Law 89-97 as amended.
(F) "Medicare supplement policy" means a group or individual health insurance policy advertised, marketed, or designed primarily as a supplement to reimbursements made under Medicare for the hospital, medical, or surgical expenses of persons eligible for Medicare by reason of age. This term does not include:
(F) "Superintendent" means the Superintendent of Insurance.