California Insurance Code ARTICLE 6 - Medicare Supplement Policies

Section 10192.1.
All Medicare supplement policies and certificates shall comply with the provisions of subdivision (b) of Section 10291.5 and Chapter 7 (commencing with Section 10600) of...
Section 10192.2.
The purpose of this article is to provide for the reasonable standardization of coverage and simplification of terms and benefits of Medicare supplement policies, to...
Section 10192.3.
(a) Except as otherwise provided in this section or in Sections 10192.7, 10192.12, 10192.13, 10192.16, and 10192.21, this article shall apply to all Medicare supplement policies...
Section 10192.4.
The following definitions apply for the purposes of this article:(a) “Applicant” means:(1) The person who seeks to contract for insurance benefits, in the case of an individual...
Section 10192.5.
A policy or certificate shall not be advertised, solicited, or issued for delivery as a Medicare supplement policy or certificate unless the policy or certificate...
Section 10192.55.
(a) With regard to Medicare supplement policies, all insurers, brokers, agents, and others engaged in the business of insurance owe a policyholder or a prospective policyholder...
Section 10192.6.
(a) Except for permitted preexisting condition clauses as described in Sections 10192.7, 10192.8, and 10192.81, a policy or certificate shall not be advertised, solicited, or issued...
Section 10192.7.
A policy or certificate shall not be advertised, solicited, or issued for delivery as a Medicare supplement policy or certificate prior to January 1, 2001,...
Section 10192.8.
The following standards are applicable to all Medicare supplement policies or certificates advertised, solicited, or issued for delivery on or after January 1, 2001, and...
Section 10192.81.
The following standards are applicable to all Medicare supplement policies or certificates delivered or issued for delivery in this state with an effective date on...
Section 10192.9.
The following standards are applicable to all Medicare supplement policies or certificates delivered or issued for delivery in this state on or after July 1,...
Section 10192.91.
The following standards are applicable to all Medicare supplement policies or certificates delivered or issued for delivery in this state with an effective date on...
Section 10192.10.a.
(a) (1) This section shall apply to Medicare Select policies and certificates, as defined in this section.(2) A policy or certificate shall not be advertised as a Medicare...
Section 10192.11.
(a) (1) An issuer shall not deny or condition the issuance or effectiveness of any Medicare supplement policy or certificate available for sale in this state, nor...
Section 10192.12.
(a) (1) With respect to the guaranteed issue of a Medicare supplement policy, eligible persons are those individuals described in subdivision (b) who seek to enroll under...
Section 10192.13.
(a) An issuer shall comply with Section 1882(c)(3) of the federal Social Security Act (as enacted by Section 4081(b)(2)(C) of the federal Omnibus Budget Reconciliation Act...
Section 10192.14.
(a) (1) (A) With respect to loss ratio standards, a Medicare supplement policy form or certificate form shall not be advertised, solicited, or issued for delivery unless the...
Section 10192.15.
(a) An issuer shall not advertise, solicit, or issue for delivery a policy or certificate to a resident of this state unless the policy form or...
Section 10192.16.
(a) An issuer or other entity may provide commission or other compensation to an agent or other representative for the sale of a Medicare supplement policy...
Section 10192.165.
(a) (1) As prescribed in this chapter, the commissioner shall have the administrative authority to assess penalties against issuers, brokers, agents, and other entities engaged in the...
Section 10192.17.
(a) Medicare supplement policies and certificates shall include a renewal, continuation, or conversion provision. The language or specifications of the provision shall be consistent with the...
Section 10192.18.
(a) Application forms shall include the following questions designed to elicit information as to whether, as of the date of the application, the applicant currently has...
Section 10192.185.
In addition to any other requirements of law, the following shall apply to a Medicare supplement policy:(a) The issuer shall not require an amount greater than...
Section 10192.19.
(a) An issuer shall provide a copy of any Medicare supplement advertisement intended for use in this state whether through written, radio, or television medium to...
Section 10192.195.
The commissioner may prescribe by regulation a standard form and the contents of an informational brochure for persons eligible for Medicare by reason of age...
Section 10192.20.a.
(a) An issuer, directly or through its producers, shall do each of the following:(1) Establish marketing procedures to ensure that any comparison of policies by its agents...
Section 10192.21.
(a) In recommending the purchase or replacement of any Medicare supplement policy or certificate, an agent shall make reasonable efforts to determine the appropriateness of a...
Section 10192.22.
(a) On or before March 1 of each year, an issuer shall report the following information for every individual resident of this state for which the...
Section 10192.23.
(a) If a Medicare supplement policy or certificate replaces another Medicare supplement policy or certificate, the replacing issuer shall waive any time periods applicable to preexisting...
Section 10192.24.
This section applies to all policies with policy years beginning on or after May 21, 2009.(a) In addition to the requirements set forth under Sections 10140...

Last modified: October 22, 2018