Nebraska Administrative Code
Topic - INSURANCE, DEPARTMENT OF
Title 210 - NEBRASKA DEPARTMENT OF INSURANCE
Chapter 54 - REGULATION TO IMPLEMENT TRANSITIONAL REQUIREMENTS FOR THE CONVERSION OF MEDICARE SUPPLEMENT INSURANCE BENEFITS AND PREMIUMS TO CONFORM TO REPEAL OF MEDICARE CATASTROPHIC COVERAGE ACT
Section 210-54-008 - Requirements for new policies and certificates
Universal Citation: 210 NE Admin Rules and Regs ch 54 ยง 008
Current through September 17, 2024
008.01 Effective January 1, 1990, no Medicare supplement insurance policy, contract or certificate shall be delivered 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 the existing Medicare Supplement Insurance Minimum Standards Act or Regulation except where duplication of Medicare benefits would result and except as required by these transition provisions.
008.02 General Requirements
008.02A 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, which adjust minimum required benefits to changes in Medicare
benefits and which provides a clear description of the policy or contract
benefit.
008.02B The filing
required under subsection
006.01A shall
provide for loss ratios which are in compliance with all minimum
standards.
008.02C 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.
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