44-3602 Terms, defined.

NE Code § 44-3602 (2019) (N/A)
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44-3602. Terms, defined.

For purposes of the Medicare Supplement Insurance Minimum Standards Act:

(1) Applicant shall mean:

(a) In the case of an individual medicare supplement policy, the person who seeks to contract for insurance benefits; and

(b) In the case of a group medicare supplement policy, the proposed certificate holder;

(2) Certificate shall mean any certificate delivered or issued for delivery in this state under a group medicare supplement policy;

(3) Certificate form shall mean the form on which the certificate is delivered or issued for delivery by the issuer;

(4) Director shall mean the Director of Insurance;

(5) Issuer shall include insurance companies, fraternal benefit societies, health care service plans, health maintenance organizations, and any other entities delivering or issuing for delivery in this state medicare supplement policies or certificates;

(6) Medicare shall mean the Health Insurance for the Aged Act, Title XVIII of the Social Security Amendments of 1965, as then constituted or later amended;

(7) Medicare supplement policy shall mean a group or individual policy of sickness and accident insurance or a subscriber contract of health maintenance organizations, other than a policy issued pursuant to a contract under section 1876 of the federal Social Security Act, 42 U.S.C. 1395 et seq., or an issued policy under a demonstration project specified in 42 U.S.C. 1395ss(g)(1), which is advertised, marketed, or designed primarily as a supplement to reimbursements under medicare for the hospital, medical, or surgical expenses of persons eligible for medicare; and

(8) Policy form shall mean the form on which the policy is delivered or issued for delivery by the issuer.

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