Section 376.854

Title XXIV BUSINESS AND FINANCIAL INSTITUTIONS

Chapter 376

Effective - 26 Apr 1996, see footnote   

  376.854.  Definitions. — As used in sections 376.850 to 376.890, the following terms mean:

  (1)  "Applicant":

  (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", any certificate delivered or issued for delivery in this state under a group Medicare supplement policy;

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

  (4)  "Director", the director of the department of commerce and insurance;

  (5)  "Issuer" includes insurance companies, fraternal benefit societies, health care service plans, health maintenance organizations, and any other entity delivering or issuing for delivery in this state Medicare supplement policies or certificates;

  (6)  "Medicare", 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", a group or individual policy of insurance or a subscriber contract, other than a policy issued pursuant to a contract under section 1876 of the federal Social Security Act, 42 U.S.C.  section 1395, et seq., or an issued policy under a demonstration project specified in 42 U.S.C. section 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;

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

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(L. 1989 H.B. 615 & 563, A.L. 1992 H.B. 1574, A.L. 1996 S.B. 883)

Effective 4-26-96