Medicare Supplement Insurance Minimum Standards

What this document is

Delaware Code Title 18 Chapter 34 - Medicare Supplement Insurance Minimum Standards (Secs. 3401-3411) is a state statute published by Delaware Code Online (delcode.delaware.gov), Delaware General Assembly. It is one of the Delaware documents that insurance license exam questions are written from, including delaware life & health practice questions. This page summarizes it and points to the official version, which is the text to rely on.

Sections cited in practice questions

Each practice answer shows the exact passage it comes from. These are sections of this document that questions cite, with a short excerpt from the source text.

• 18 Del. C. Chapter 34 § 3411(b) (Enrollment Periods)

  “During the open enrollment period offered pursuant to subsection (a) of this section, an issuer of Medicare supplement policies or certificates in this State may not deny or condition the issuance or effectiveness of a Medicare supplement policy or certificate being offered or discriminate in the...”

• 18 Del. C. Chapter 34 § 3402(b) (Applicability; scope: employer and labor organization exclusion)

  “This chapter shall not apply to a policy of 1 or more employers or labor organizations, or of the trustees of a fund established by 1 or more employers or labor organizations, or combination thereof, for employees or former employees or a combination thereof, or for members or former members, or a...”

• 18 Del. C. Chapter 34 § 3406 (Notice of Free Examination)

  “Medicare supplement policies and certificates shall have a notice prominently printed on the first page of the policy or certificate or attached thereto stating in substance that the applicant shall have the right to return the policy or certificate within 30 days of its delivery and to have the...”

• 18 Del. C. Chapter 34 § 3401(d) (Definitions: issuer)

  ““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.”

• 18 Del. C. Chapter 34 § 3404 (Loss Ratio Standards)

  “The Commissioner shall issue reasonable regulations to establish minimum standards for loss ratios of Medicare supplement policies on the basis of incurred claims experience, or incurred health-care expenses where coverage is provided by a health maintenance organization on a service rather than...”

• 18 Del. C. Chapter 34 § 3407 (Filing Requirements for Advertising)

  “Every issuer of Medicare supplement insurance policies or certificates in this State shall provide a copy of any Medicare supplement advertisement intended for use in this State whether through written, radio or television medium to the Commissioner of Insurance of this State for review or approval...”

• 18 Del. C. Chapter 34 § 3405(a) (Disclosure Standards - Outline of Coverage)

  “In order to provide for full and fair disclosure in the sale of Medicare supplement policies, no Medicare supplement policy or certificate shall be delivered in this State unless an outline of coverage is delivered to the applicant at the time application is made.”

• 18 Del. C. Chapter 34 § 3410(a) (Coverage for Persons Eligible for Medicare Due to Disability)

  “Each Medicare supplement policy or applicable certificate that an issuer currently, or at any time hereafter, makes available in this State shall be made available to any applicant under the age of 65 who is eligible for Medicare due to a disability, including, without limitation, end-stage renal...”

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