218-1956-38 Chapter 38 Medicare Supplement Policies and Certificates (500.3801...500.3861)

218-1956-38 Chapter 38 Medicare Supplement Policies and Certificates (500.3801...500.3861)

Section 500.3801 Chapter; Definitions.
Section 500.3803 Applicability of Chapter.
Section 500.3804 Repealed. 2018, Act 429, Eff. Mar. 20, 2019.
Section 500.3805 Medicare Supplement Policy; Definitions.
Section 500.3807 Basic Core Package of Benefits; Standards for Plans K and L; Applicability of Section.
Section 500.3807a Medicare Supplement Policies or Certificates With Effective Date for Coverage on or After June 1, 2010; Basic Core Package of Benefits.
Section 500.3808 Repealed. 2018, Act 429, Eff. Mar. 20, 2019.
Section 500.3809 Additional Benefits; Reimbursement for Preventive Screening Tests and Services; Definitions; Applicability of Section.
Section 500.3809a Medicare Supplement Policies or Certificates With Effective Date for Coverage on or After June 1, 2010; Additional Benefits.
Section 500.3811 Basic Core Benefits; Availability; Sale of Certain Benefits Prohibited; Designations, Structure, Language, and Format; Other Designations; Requirements; Applicability of Section.
Section 500.3811a Medicare Supplement Policies or Certificates With Effective Date for Coverage on or After June 1, 2010; Basic Core Benefits; Availability; Sale of Certain Benefits Prohibited; Structure, Language, Designation, and Format; Other Designations; Requirements.
Section 500.3811b Medicare Supplement Policies or Certificates for Newly Eligible Individuals After December 31, 2019; Exceptions to Standards and Requirements.
Section 500.3813 Disability Coverage; Medicare Supplement Buyer's Guide; Applicability of Section.
Section 500.3815 Outline of Coverage; Acknowledgment of Receipt; Compliance With Notice Requirements; Substitute; Language, Written or Electronic Format, and Required Items.
Section 500.3817 Medicare Select Policies and Certificates; Definitions; Requirements for Issuance; Plan of Operation; Filing, Format, and Contents; Proposed Changes; Updated List of Network Providers; Payment for Covered Services Not Available Through Network Providers; Disclosure; Receipt of Information; Grievance Procedure; Report; Availability of Comparable or Lesser Benefits; Continuation of Coverage; Requests for Data by State or Federal Agencies.
Section 500.3819 Minimum Standards; Suspension of Benefits and Premiums; Notice; Reinstitution; Offer to Exchange 1990 Standardized Plan to 2010 Plan.
Section 500.3819a Medicare Supplement Policies or Certificates With Effective Date for Coverage on or After June 1, 2010; Minimum Standards.
Section 500.3821 Issuance of Policy to Person Not Enrolled in Medicare Parts a and B Prohibited; Refund; Interest.
Section 500.3823 Covered Benefits More Restrictive Than Benefits Under Medicare and Required Under State Law Prohibited; Benefits for Outpatient Prescription Drugs.
Section 500.3825 Preexisting Diseases or Conditions; Waiver Prohibited.
Section 500.3827 Duplicate Benefits Prohibited; Application; Statements and Questions Whether Another Policy in Force; List of Policies Sold to Applicant; Notice Regarding Replacement Coverage.
Section 500.3829 Denying or Conditioning Issuance Based on Health Status, Claims Experience, Receipt of Health Care, or Medical Condition of Applicant Prohibited; Condition; Exclusion of Benefits Based on Preexisting Conditions; Reduction; Creditable Coverage.
Section 500.3829a Medicare Supplement Policies or Certificates Delivered, Issued for Delivery, or Renewed on or After May 21, 2009; Genetic Test; Definitions.
Section 500.3830 Eligible Person; Requirements.
Section 500.3830a Termination of Contract or Agreement; Notice to Individual.
Section 500.3831 Individual or Group Expense Incurred Hospital, Medical, or Surgical Policies; Right of Continuation or Conversion to Medicare Supplemental Plan; Request for Coverage; Exclusion From Preexisting Conditions; Notice of Availability of Coverage; Utilization of Another Insurer to Write Coverage.
Section 500.3833 Replacement Policy; Waiver of Certain Time Periods.
Section 500.3835 Marketing Procedures; Determining Appropriateness of Recommended Purchase or Replacement; More Than 1 Policy Prohibited; Individual Enrolled in Medicare Advantage; "Notice to Buyer" Displayed.
Section 500.3837 Repealed. 2002, Act 304, Imd. Eff. May 10, 2002.
Section 500.3839 Renewal or Continuation Provision; Effect of Termination or Replacement; Elimination of Outpatient Prescription Drug Benefit.
Section 500.3841 Riders or Endorsements; Signed Acceptance or Agreement; Additional Premium; Use of Certain Standards, Terms, and Words; Filing of Changes in Medicare Benefits; Elimination of Duplicate Benefits; Notice of Modifications; Notice Requirements of Medicare Prescription Drug, Improvement, and Modernization Act of 2003.
Section 500.3843 Health Insurance; Notice; Contents; Applicability of Subsection (1).
Section 500.3847 Advertising; Filing Copy With Director.
Section 500.3849 Filing and Approval Requirements; Deletion of Outpatient Prescription Drug Benefits; Issuance of Policy; Use and Change in Premium Rates; Additional Forms; Availability; Conditions and Effect of Discontinuance; Combining Forms for Purposes of Refund or Credit Calculation; Compliance With Federal Law; “Type” Defined.
Section 500.3851 Aggregate Benefits; Rates, Rating Schedules, and Rate Revisions.
Section 500.3852 Benchmark Ratio.
Section 500.3853 Refund or Credit Calculation; Form; Interest; Due Date.
Section 500.3855 Annual Filing of Rates, Rating Schedule, and Supporting Documentation; Premium Adjustments; Public Hearing for Rate Increase; Failure to Make Premium Adjustments.
Section 500.3857 Duties of Insurer; Certification of Compliance With Subsection (1)(a).
Section 500.3859 Prohibited Conduct; Violation as Misdemeanor; Penalty.
Section 500.3861 Probable Cause of Violation; Notice of Hearing; Opportunity to Confer and Discuss; Hearing; Applicability of Mcl 500.2038 to 500.2040; Violation; Penalty.

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