New Hampshire Code of Administrative Rules
Ins - Commissioner, Insurance Department
Chapter Ins 1900 - ACCIDENT AND HEALTH INSURANCE
Part Ins 1903 - MEDICARE SUPPLEMENT INSURANCE
Section Ins 1903.04 - Benefit Conversion Requirements

(a) No medicare supplement insurance policy, contract or certificate in force in this state shall contain benefits which duplicate benefits provided by medicare.

(b) No later than 30 days prior to the annual effective date of medicare benefit changes mandated by the Medicare Catastrophic Coverage Act of 1988, every insurer providing medicare supplement insurance or benefits to a resident of this state shall notify its policyholders, contractholders and certificateholders of modifications it has made to medicare supplement insurance policies or contracts.

(c) The notice required in (b) above shall include a description of revisions to the medicare program and a description of each modification made to the coverage provided under the medicare supplement insurance policy or contract. The notice shall inform each covered person as to when any premium adjustment due to changes in medicare benefits will be made. The notice of benefit modifications and any premium adjustments shall be in outline form and in clear and simple terms so as to facilitate comprehension. Such notice shall not contain or be accompanied by any solicitation.

(d) No modifications to an existing medicare supplement contract or policy shall be made at the time of or in connection with the notice requirements of this part except to the extent necessary to eliminate duplication of medicare benefits and any modifications necessary under the policy or contract to provide indexed benefit adjustment.

(e) As soon as practicable, but no longer than 45 days after the effective date of the medicare benefit changes, every insurer providing medicare supplement insurance or contracts in this state shall file with the commissioner, the following:

(f) Every insurer providing medicare supplement insurance in this state shall provide each covered person with any rider, endorsement or policy form necessary to eliminate any benefit duplications under the policy or contract with benefits provided by medicare.

(g) No insurer shall require any person covered under a medicare supplement policy or contract which was in force prior to January 1, 1989 to purchase additional coverage under such policy or contract unless additional coverage was provided for in the policy or contract.

(h) Every insurer providing medicare supplement insurance or benefits to a resident of this state shall make such premium adjustments as are necessary to produce an expected loss ratio under such policy or contract as will conform with minimum loss ratio standards for medicare supplement policies and which is expected to result in a loss ratio at least as great as the originally anticipated by the insurer for such medicare supplement insurance policies or contracts. No premium adjustment which would modify the loss ratio experience under the policy other than the adjustments described herein shall be made with respect to a policy at any time other than upon its renewal date. Premium adjustments shall be in the form of refunds or premium credits and shall be made no later than upon renewal if a credit is given, or within 60 days of the renewal date if a refund is provided to premium payer.