Section 500.3801 | Section | Chapter; definitions. |
Section 500.3805 | Section | Medicare supplement policy; definitions. |
Section 500.3807 | Section | Basic core package of benefits; standards for plans K and L; applicability of section. |
Section 500.3809 | Section | Additional benefits; reimbursement for preventive screening tests and services; definitions; applicability of section. |
Section 500.3811 | Section | Basic core benefits; availability; sale of certain benefits prohibited; designations, structure, language, and format; other designations; requirements; applicability of section. |
Section 500.3815 | Section | Outline of coverage; acknowledgment of receipt; compliance with notice requirements; substitute; language, written or electronic format, and required items. |
Section 500.3817 | Section | 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 | Section | Minimum standards; suspension of benefits and premiums; notice; reinstitution; offer to exchange 1990 standardized plan to 2010 plan. |
Section 500.3823 | Section | Covered benefits more restrictive than benefits under medicare and required under state law prohibited; benefits for outpatient prescription drugs. |
Section 500.3827 | Section | Duplicate benefits prohibited; application; statements and questions whether another policy in force; list of policies sold to applicant; notice regarding replacement coverage. |
Section 500.3830 | Section | Eligible person; requirements. |
Section 500.3831 | Section | 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 500.3835 | Section | Marketing procedures; determining appropriateness of recommended purchase or replacement; more than 1 policy prohibited; individual enrolled in medicare advantage; "notice to buyer" displayed. |
Section 500.3839 | Section | Renewal or continuation provision; effect of termination or replacement; elimination of outpatient prescription drug benefit. |
Section 500.3841 | Section | 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 500.3849 | Section | 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. |