Sec. 10. (a) The commissioner shall adopt rules under IC 4-22-2 to establish minimum standards for:
(1) claims payment;
(2) marketing practices;
(3) compensation arrangements; and
(4) reporting practices;
for Medicare supplement policies and certificates.
(b) The commissioner may adopt rules under IC 4-22-2 that are necessary to conform Medicare supplement policies and certificates to the requirements of federal law and federal regulations. A rule adopted under this subsection may do the following:
(1) Require refunds or credits if the policies or certificates do not meet loss ratio requirements.
(2) Establish a uniform methodology for calculating and reporting loss ratios.
(3) Assure public access to policies, premiums, and loss ratio information of issuers of Medicare supplement insurance.
(4) Establish a process for approving or disapproving policy forms and certificate forms and proposed premium increases.
(5) Establish a policy for holding public hearings before approval of premium increases.
(6) Establish standards for Medicare Select policies and certificates.
As added by P.L.255-1989, SEC.7. Amended by P.L.149-1990, SEC.5; P.L.195-1991, SEC.1; P.L.126-1992, SEC.8.
Structure Indiana Code
Article 8. Life, Accident, and Health
Chapter 13. Medicare Supplement Insurance Solicitations
27-8-13-0.1. Application of Certain Amendments to Chapter
27-8-13-2. "Medicare Supplement Insurance Solicitation" Defined
27-8-13-3. "Medicare Supplement Policy"
27-8-13-4. Receipt for Materials Received by Soliciting Insurance Producer; "Materials" Defined
27-8-13-5. "Applicant" Defined
27-8-13-6. "Certificate" Defined
27-8-13-6.2. "Certificate Form" Defined
27-8-13-7.6. "Policy Form" Defined
27-8-13-8. Application of Chapter
27-8-13-9. Medicare Supplement Policies; Standards; Preexisting Medical Conditions
27-8-13-9.5. Medicare Supplement Policy or Certificate Requirements; Enrollment; Compensation
27-8-13-10.1. Model Medicare Supplement Policy Standards
27-8-13-12. Reasonable Benefits; Loss Ratio Standards
27-8-13-14. Outline of Coverage; Contents
27-8-13-15. Informational Brochures
27-8-13-17. Return Privilege Notice; Refund
27-8-13-18. Review and Approval of Proposed Advertisements