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Texas Insurance Code - Chapter 1652 Medicare Supplement Benefit PlansLegal Research Home > Texas Laws > Insurance Code > Texas Insurance Code - Chapter 1652 Medicare Supplement Benefit Plans In this chapter: (1) "Applicant" means: (A) an individual who seeks to contract for insurance or other health benefits under an individual Medicare supplement benefit ... (a) "Medicare supplement benefit plan" means a group or individual policy of accident and health insurance, a subscriber contract of a group hospital service corporation ... This chapter applies to an individual or group Medicare supplement benefit plan delivered or issued for delivery in this state and, regardless of the place ... (a) This chapter may not be construed to enlarge the powers of an entity described by Section 1652.003. (b) This chapter controls to the extent ... In addition to other rules required or authorized by this chapter, the commissioner shall adopt reasonable rules necessary and proper to carry out this chapter, ... (a) The commissioner shall adopt reasonable rules to establish specific standards for provisions in Medicare supplement benefit plans and standards for facilitating comparisons of different ... (a) The commissioner shall adopt reasonable rules to establish minimum standards for benefits and claim payments under Medicare supplement benefit plans. (b) The standards for ... A Medicare supplement benefit plan or certificate in force in this state may not contain benefits that duplicate benefits provided by Medicare. Added by Acts ... An entity described by Section 1652.003 that offers for sale in this state a Medicare supplement benefit plan must offer a basic Medicare supplement benefit ... (a) In addition to the basic Medicare supplement benefit plan described by Section 1652.054, an entity may offer additional Medicare supplement benefit plans for sale ... (a) In this section, "low-dose mammography" means the x-ray examination of the breast using equipment dedicated specifically for mammography, including the x-ray tube, filter, compression ... (a) An entity that delivers or issues for delivery in this state a Medicare supplement benefit plan or certificate that replaces a Medicare supplement benefit ... (a) A Medicare supplement benefit plan may not contain a provision that excludes coverage for a claim for losses incurred more than six months after ... (a) A Medicare supplement benefit plan must return to a plan holder benefits that are reasonable in relation to the premium charged. (b) The commissioner ... (a) Annually, each entity providing Medicare supplement benefit plans in this state shall file with the department the entity's rates, rating schedule, and supporting documentation ... (a) The commissioner by rule shall provide a process for reviewing and approving or disapproving a proposed premium increase relating to a Medicare supplement benefit ... (a) Before the date on which a Medicare benefit change required by federal law takes effect, each entity providing in this state a Medicare supplement ... To the extent necessary for this state to obtain or retain certification as a state with an approved regulatory program, the department shall comply with ... The rules adopted under Sections 1652.152, 1652.153, and 1652.154 must include provisions and requirements that are at least equal to those required by federal law, ... (a) To provide for full and fair disclosure in the sale of Medicare supplement benefit plans, a Medicare supplement benefit plan or certificate may not ... (a) The commissioner by rule may prescribe a standard form and the contents of an informational brochure intended to improve the ability of an individual ... (a) The commissioner may adopt reasonable rules for captions or notice requirements for each accident and health insurance policy, subscriber contract, or evidence of coverage ... (a) If an applicant is not satisfied for any reason after examining a Medicare supplement benefit plan document or certificate, the applicant is entitled to ... (a) The commissioner shall adopt reasonable rules to require each entity described by Section 1652.003 to file with the department a copy of any advertisement ... (a) An entity that offers a Medicare supplement benefit plan for sale in this state shall provide to each agent authorized to sell that plan ... (a) The commissioner by rule shall limit the commission or other compensation that may be paid to an agent for the sale of a Medicare ... (a) An entity described by Section 1652.003 that issues a Medicare supplement benefit plan in this state may offer a group or individual policyholder: (1) ... (a) In this section, "prescription drug discount program" means any program that entitles a participant to purchase prescription drugs or other medical supplies and services ... Last modified: August 11, 2007 |
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