reglab/statecodes huggingface dataset:
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 48 - REGULATION TO IMPLEMENT TRANSITIONAL REQUIREMENTS FOR THE COVERSION OF MEDICARE SUPPLEMENT INSURANCE BENEFITS AND PREMIUMS TO CONFORM TO MEDICARE PROGRAM REVISIONS › Section 210-48-001 - Purpose

Current through June 17, 2024
The purpose of this regulation is to assure the orderly
				  implementation and conversion of Medicare supplement insurance benefits and
				  premiums due to changes in the Federal Medicare Program; to provide for the
				  reasonable standardization of the coverage, terms and benefits of Medicare
				  supplement policies or subscriber contracts; to facilitate public understanding
				  of such policies or subscriber contracts; to eliminate provisions contained in
				  such policies or subscriber contracts which may be misleading or confusing in
				  connection with the purchase of such policies or subscriber contracts; to
				  eliminate policy or contract provisions which may duplicate Medicare benefits;
				  to provide full disclosure of policy or subscriber contract benefits and
				  benefit changes; and to provide for refunds of premiums associated with
				  benefits duplicating Medicare program benefits.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 48 - REGULATION TO IMPLEMENT TRANSITIONAL REQUIREMENTS FOR THE COVERSION OF MEDICARE SUPPLEMENT INSURANCE BENEFITS AND PREMIUMS TO CONFORM TO MEDICARE PROGRAM REVISIONS › Section 210-48-002 - Authority

Current through June 17, 2024
This Rule is issued pursuant to the authority vested in the
				  Director of Insurance under
Neb.Rev.Stat.
' 44-101.01,
				  the Unfair Insurance Trade Practices Act, ' 44-152
1 et
				  seq
., and
the Unfair Insurance Claims Settlement
				  Practices Act,
' 44-3601
et
				  seq
.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 48 - REGULATION TO IMPLEMENT TRANSITIONAL REQUIREMENTS FOR THE COVERSION OF MEDICARE SUPPLEMENT INSURANCE BENEFITS AND PREMIUMS TO CONFORM TO MEDICARE PROGRAM REVISIONS › Section 210-48-003 - Applicability and scope

Current through June 17, 2024
This regulation shall take precedence over other rules and
				  requirements relating to Medicare supplement policies or contracts only to the
				  extent necessary to assure that benefits are not duplicated, that applicants
				  receive adequate notice and disclosure of changes in Medicare supplement
				  policies and subscriber contracts, that appropriate premium adjustments are
				  made in a timely manner, and that premiums are reasonable in relation to
				  benefits.
003.01 Except as otherwise
				provided, this regulation shall apply to:
003.01A All Medicare supplement policies and
				contracts delivered, or issued for delivery, or which are otherwise subject to
				the jurisdiction of this state on or after the effective date hereof,
				and
003.01B All certificates issued
				under group Medicare supplement policies as provided in
sub
section
				003.01A.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 48 - REGULATION TO IMPLEMENT TRANSITIONAL REQUIREMENTS FOR THE COVERSION OF MEDICARE SUPPLEMENT INSURANCE BENEFITS AND PREMIUMS TO CONFORM TO MEDICARE PROGRAM REVISIONS › Section 210-48-004 - Definitions

Current through June 17, 2024
004.01 For purposes
				of this regulation:
004.01A "Applicant"
				means:
004.01A(1) In the case of an
				individual Medicare supplement policy or subscriber contract, the person who
				seeks to contract for insurance benefits, and
004.01A(2) In the case of a group Medicare
				supplement policy or subscriber contract, the proposed certificateholder.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 48 - REGULATION TO IMPLEMENT TRANSITIONAL REQUIREMENTS FOR THE COVERSION OF MEDICARE SUPPLEMENT INSURANCE BENEFITS AND PREMIUMS TO CONFORM TO MEDICARE PROGRAM REVISIONS › Section 210-48-005 - Benefit conversion requirements

Current through June 17, 2024
005.01A Effective
				January 1, 1989, no Medicare supplement insurance policy, subscriber contract
				or certificate in force in this state shall contain benefits which duplicate
				benefits provided by Medicare.
005.01B General Requirements
005.01B(1) No later than thirty (30) days
				prior to the annual effective date of Medicare benefit changes mandated by the
				Medicare Catastrophic Coverage Act of 1988, every insurer, health care service
				plan, hospital and medical service association or health maintenance
				organization providing Medicare supplement insurance or benefits to a resident
				of this state shall notify its policyholders, subscribers and
				certificateholders of modifications it has made to Medicare supplement
				insurance policies or subscriber contracts. Such notice shall be in a format
				prescribed by the Director.
005.01B1(a) Such
				notice shall include a description of revisions to the Medicare program and a
				description of each modification made to the coverage provided under the
				Medicare supplement insurance policy or subscriber contract.
005.01B1(b) The notice shall inform each
				covered person as to when any premium adjustment due to changes in Medicare
				benefits will be made.
005.01B1(c)
				The notice of benefit modifications and any premium adjustments shall be in
				outline form and in clear and simple terms so as to facilitate comprehension.
				Such notice shall not contain or be accompanied by any solicitation.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 48 - REGULATION TO IMPLEMENT TRANSITIONAL REQUIREMENTS FOR THE COVERSION OF MEDICARE SUPPLEMENT INSURANCE BENEFITS AND PREMIUMS TO CONFORM TO MEDICARE PROGRAM REVISIONS › Section 210-48-006 - Requirements for new policies and certificates

Current through June 17, 2024
006.01A Effective January 1, 1989, no
				Medicare supplement insurance policy, subscriber contract, or certificate shall
				be issued or issued for delivery in this state which provides benefits which
				duplicate benefits provided by Medicare. No such policy, subscriber contract or
				certificate shall provide less benefits than those required under existing
				Medicare Supplement Insurance Minimum Standards Act or Regulations except where
				duplication of Medicare benefits would result.
006.01B General Requirements
006.01B(1) Within ninety (90) days of the
				effective date of this regulation, every insurer, health care service plan,
				hospital and medical service association or health maintenance organization
				required to file its policies or subscriber contracts with this state shall
				file new Medicare supplement insurance policies or subscriber contracts which
				eliminate any duplication of Medicare supplement benefits with benefits
				provided by Medicare and which provides a clear description of the policy or
				contract benefit.
006.01B(2) The
				filing required under subsection
				006.01B(1) shall
				provide for loss ratios which are in compliance with all minimum standards.
006.01B(3) Every applicant for a
				Medicare supplement insurance policy, subscriber contract or certificate shall
				be provided with an outline of coverage which simplifies and accurately
				describes benefits provided by Medicare and policy or contract benefits along
				with benefit limitations.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 48 - REGULATION TO IMPLEMENT TRANSITIONAL REQUIREMENTS FOR THE COVERSION OF MEDICARE SUPPLEMENT INSURANCE BENEFITS AND PREMIUMS TO CONFORM TO MEDICARE PROGRAM REVISIONS › Section 210-48-007 - Filing requirements for advertising

Current through June 17, 2024
007.01 Every
				insurer, health care service plan, hospital and medical service association or
				health maintenance organization providing Medicare supplement insurance or
				benefits in this state shall provide a copy of any advertisement intended for
				use in this state whether through written, radio or television medium to the
				Director of Insurance of this State for review by the Director. Such
				advertisement shall comply with all applicable laws of this state.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 48 - REGULATION TO IMPLEMENT TRANSITIONAL REQUIREMENTS FOR THE COVERSION OF MEDICARE SUPPLEMENT INSURANCE BENEFITS AND PREMIUMS TO CONFORM TO MEDICARE PROGRAM REVISIONS › Section 210-48-008 - Buyer's guide

Current through June 17, 2024
008.01 No insurer,
				health care service plan, hospital and medical service association or health
				maintenance organization shall make use of or otherwise disseminate any Buyer's
				Guide or informational brochure which does not accurately outline current
				Medicare benefits and which is not in a format prescribed by the
				Director.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 48 - REGULATION TO IMPLEMENT TRANSITIONAL REQUIREMENTS FOR THE COVERSION OF MEDICARE SUPPLEMENT INSURANCE BENEFITS AND PREMIUMS TO CONFORM TO MEDICARE PROGRAM REVISIONS › Section 210-48-009 - Severability

Current through June 17, 2024
If any provision of this regulation or the application
				  thereof to any person or circumstances is for any reason held to be invalid,
				  the remainder of the regulation and the application of such provision to other
				  persons or circumstances shall not be affected thereby.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 48 - REGULATION TO IMPLEMENT TRANSITIONAL REQUIREMENTS FOR THE COVERSION OF MEDICARE SUPPLEMENT INSURANCE BENEFITS AND PREMIUMS TO CONFORM TO MEDICARE PROGRAM REVISIONS › Section 210-48-010 - Operative date

Current through June 17, 2024
The operative date of this Rule is November 30,
				  1988.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 50 - RULES CONCERNING THE ADVERTISING OF LIFE INSURANCE AND ANNUITIES › Section 210-50-001 - Authority

Current through June 17, 2024
This rule is promulgated pursuant to the authority granted in
				  Neb. Rev. Stat. §§
									44-101.01
				  and
				  44-1533.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 50 - RULES CONCERNING THE ADVERTISING OF LIFE INSURANCE AND ANNUITIES › Section 210-50-002 - Purpose

Current through June 17, 2024
The purpose of these rules is to set forth minimum standards
				  and guidelines to assure a full and truthful disclosure to the public of all
				  material and relevant information in the advertising of life insurance policies
				  and annuity contracts.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 50 - RULES CONCERNING THE ADVERTISING OF LIFE INSURANCE AND ANNUITIES › Section 210-50-003 - Definitions

Current through June 17, 2024
For the purpose of these rules:
003.01 Advertisement
"Advertisement" shall be material designed to create public
				  interest in life insurance or annuities or in an insurer, or in an insurance
				  producer; or to induce the public to purchase, increase, modify, reinstate,
				  borrow on, surrender, replace, or retain a policy including:
003.01A printed and published material,
				audiovisual material, and descriptive literature of an insurer or producer used
				in direct mail, newspapers, magazines, telephone, radio and television scripts,
				telemarketing scripts, billboards and similar displays, and the Internet or any
				other mass communication media;
003.01B descriptive literature and sales aids
				of all kinds, authored by the insurer, its producers, or third parties, issued,
				distributed or used by such insurer or producer; including but not limited to
				circulars, leaflets, booklets, web pages, depictions, illustrations and form
				letters;
003.01C material used for
				the recruitment, training, and education of an insurer's insurance producers
				which is designed to be used or is used to induce the public to purchase,
				increase, modify, reinstate, borrow on, surrender, replace or retain a policy;
				and
003.01D prepared sales talks,
				presentations and material for use by insurance agents or brokers.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 50 - RULES CONCERNING THE ADVERTISING OF LIFE INSURANCE AND ANNUITIES › Section 210-50-004 - Applicability

Current through June 17, 2024
004.01 These rules
				shall apply to any life insurance or annuity advertisement intended for
				dissemination in this State. In variable contracts where disclosure
				requirements are established pursuant to federal regulation, this regulation
				shall be interpreted so as to eliminate conflict with federal
				regulation.
004.02 All
				advertisements, regardless of by whom written, created, designed or presented,
				shall be the responsibility of the insurer, as well as the producer who created
				or presented the advertisement. Insurers shall establish and at all times
				maintain a system of control over the content, form and method of dissemination
				of all advertisements of its policies. A system of control shall include
				regular and routine notification, at least once a year, to insurance producers
				and others authorized by the insurer to disseminate advertisements of the
				requirement and procedures for company approval prior to the use of any
				advertisements that is not furnished by the insurer and that clearly sets forth
				within the notice the most serious consequence of not obtaining the required
				prior approval.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 50 - RULES CONCERNING THE ADVERTISING OF LIFE INSURANCE AND ANNUITIES › Section 210-50-005 - Form and content of advertisements

Current through June 17, 2024
005.01
				Advertisements shall be truthful and not misleading in fact or by implication.
				The form and content of an advertisement of a policy shall be sufficiently
				complete and clear so as to avoid deception. It shall not have the capacity or
				tendency to mislead or deceive.
Whether an advertisement has the capacity or tendency to
				  mislead or deceive shall be determined by the Director of Insurance from the
				  overall impression that the advertisement may be reasonably expected to create
				  upon a person of average education or intelligence within the segment of the
				  public to which it is directed.
005.02 No advertisement shall use the terms
				"investment," "investment plan," "founder's plan," "charter plan," "deposit,"
				"expansion plan," "profit," "profits," "profit sharing," "interest plan,"
				"savings," "savings plan," "private pension plan," "retirement plan," or other
				similar terms in connection with a policy in a context or under such
				circumstances or conditions as to have the capacity or tendency to mislead a
				purchaser or prospective purchaser of such policy to believe that he will
				receive, or that it is possible that he will receive, something other than a
				policy or some benefit not available to other persons of the same class and
				equal expectation of life.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 50 - RULES CONCERNING THE ADVERTISING OF LIFE INSURANCE AND ANNUITIES › Section 210-50-007 - Identity of insurer

Current through June 17, 2024
007.01 The name of
				the insurer shall be clearly identified in all advertisements about the insurer
				or its products, and if any specific individual policy is advertised it shall
				be identified either by form number or other appropriate description. If an
				application is a part of the advertisement, the name of the insurer shall be
				shown on the application. However, if an advertisement contains a listing of
				rates or features that is a composite of several different policies or
				contracts of different insurers, the advertisement shall so state, shall
				indicate, if applicable, that not all policies or contracts on which the
				composite is based may be available in all states, and shall provide a rating
				of the lowest rated insurer and reference the rating agency, but need not
				identify each insurer. If an advertisement identifies the issuing insurers,
				insurance issuer ratings need not be stated.
007.02 An advertisement shall not use a trade
				name, an insurance group designation, name of the parent company of the
				insurer, name of a particular division of the insurer, a reinsurer of the
				insurer, service mark, slogan, symbol or other device or reference without
				disclosing the name of the insurer, if the advertisement would have the
				capacity or tendency to mislead or deceive as to the true identity of the
				insurer or create the impression that a company other than the insurer would
				have any responsibility for the financial obligation under a policy.
007.03 An advertisement shall not use any
				combination of words, symbols or physical materials that by their content,
				phraseology, shape, color or other characteristics are so similar to a
				combination of words, symbols or physical materials used by a governmental
				program or agency or otherwise appear to be of such a nature that they tend to
				mislead prospective insureds into believing that the solicitation is in some
				manner connected with a governmental program or agency.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 50 - RULES CONCERNING THE ADVERTISING OF LIFE INSURANCE AND ANNUITIES › Section 210-50-008 - Jurisdictional licensing and status of insurer

Current through June 17, 2024
008.01 An
				advertisement which is intended to be seen or heard beyond the limits of the
				jurisdiction in which the insurer is licensed shall not imply licensing beyond
				such limits.
008.02 An
				advertisement may state that an insurer or insurance producer is licensed in
				the state where the advertisement appears, provided it does not exaggerate such
				fact or suggest or imply that competing insurers or insurance agents or brokers
				may not be so licensed.
008.03 An
				advertisement shall not create the impression that the insurer, its financial
				condition or status, the payment of its claims or the merits, desirability, or
				advisability or its policy forms or kinds of plans of insurance are recommended
				or endorsed by any governmental entity. However, where a governmental entity
				has recommended or endorsed a policy form or plan, such fact may be stated if
				the entity authorizes its recommendations or endorsement to be used in an
				advertisement.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 50 - RULES CONCERNING THE ADVERTISING OF LIFE INSURANCE AND ANNUITIES › Section 210-50-009 - Statements about the insurer

Current through June 17, 2024
An advertisement shall not contain statements, pictures or
				  illustrations which are false or misleading, in fact or by implication, with
				  respect to the assets, liabilities, insurance in force, corporate structure,
				  financial condition, age or relative position of the insurer in the insurance
				  business. An advertisement shall not contain a recommendation by any commercial
				  rating system unless it clearly defines the scope and extent of the
				  recommendation including, but not limited to, the placement of the insurer's
				  rating in the hierarchy of the rating system cited.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 50 - RULES CONCERNING THE ADVERTISING OF LIFE INSURANCE AND ANNUITIES › Section 210-50-010 - Enforcement procedures

Current through June 17, 2024
010.01 Each insurer
				shall maintain at its home or principal office a complete file containing a
				specimen copy of every printed, published or prepared advertisement of its
				individual policies and specimen copies of typical printed, published or
				prepared advertisements of its blanket, franchise and group policies, hereafter
				disseminated in this State, with a notation indicating the manner and extent of
				distribution and the form number of any policy advertised. Such file shall be
				subject to inspection by this Department. All advertisements shall be
				maintained in the file for a period of five (5) years after discontinuance of
				its use of publication.
010.02 If
				the Director determines that an advertisement has the capacity or tendency to
				mislead or deceive the public, the Director may require an insurer or insurance
				producer to submit all or any part of the advertising material for review or
				approval prior to use.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 50 - RULES CONCERNING THE ADVERTISING OF LIFE INSURANCE AND ANNUITIES › Section 210-50-011 - Penalties

Current through June 17, 2024
Any insurer or any of its officers, directors, insurance
				  producers or employees thereof which, or who, violate any of the provisions of
				  this regulation, or knowingly participate in or abet such violation, shall be
				  subject to a monetary penalty and/or cease and desist order, suspension or
				  revocation of their certificate of authority or license pursuant to Neb. Rev.
				  Stat. §
									44-1529.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 50 - RULES CONCERNING THE ADVERTISING OF LIFE INSURANCE AND ANNUITIES › Section 210-50-012 - Conflict with other rules

Current through June 17, 2024
It is not intended that these rules conflict with or
				  supersede any rules currently in force or subsequently adopted in this State
				  governing specific aspects of the sale or replacement or life insurance
				  including, but not limited to, rules dealing with life insurance cost
				  comparison indices, deceptive practices in the sale of life insurance,
				  replacement or life insurance policies, illustrations of life insurance
				  policies, and annuity disclosures. Consequently, no disclosure required under
				  any such rules shall be deemed to be an advertisement within the meaning of
				  these rules.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 50 - RULES CONCERNING THE ADVERTISING OF LIFE INSURANCE AND ANNUITIES › Section 210-50-013 - Severability

Current through June 17, 2024
If any provision of this regulation is for any reason held to
				  be invalid, the remainder of the regulation shall not be affected
				  thereby.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 52 - REGULATION TO REQUIRE REPORTING OF STATISTICAL DATA AND MARKET AVAILABILITY INFORMATION BY PROPERTY AND CASUALTY INSURANCE COMPANIES › Section 210-52-001 - Authority

Current through June 17, 2024
This rule is promulgated pursuant to the Property and
				  Casualty Insurance Data Reporting Act, Neb.Rev.Stat. §§
									44-4601
				  through
				  44-4607.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 52 - REGULATION TO REQUIRE REPORTING OF STATISTICAL DATA AND MARKET AVAILABILITY INFORMATION BY PROPERTY AND CASUALTY INSURANCE COMPANIES › Section 210-52-002 - Purpose

Current through June 17, 2024
This rule sets forth the manner of reporting and the kinds of
				  data that are to be included in market availability and statistical reports
				  required or which may be required to be submitted by property and casualty
				  insurance companies and their statistical agents. This rule shall not be
				  interpreted to limit the powers granted the Director by any laws or parts of
				  laws of this state.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 52 - REGULATION TO REQUIRE REPORTING OF STATISTICAL DATA AND MARKET AVAILABILITY INFORMATION BY PROPERTY AND CASUALTY INSURANCE COMPANIES › Section 210-52-003 - Exceptions

Current through June 17, 2024
This rule shall not apply to the following lines of
				  insurance:
003.01 Life
				Insurance;
003.03 Variable
				Annuities;
003.04 Sickness and
				Accident Insurance;
003.05 Title
				Insurance;
003.06 Mortgage Guaranty
				Insurance;
003.07 Financial
				Guaranty Insurance;
003.08
				Reinsurance;
003.09 Ocean Marine
				Insurance;
003.10 Aviation
				Insurance; and
003.11 To insurance
				written by assessment associations doing business under Article 8, Chapter 44,
				except for insurance on growing crops.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 52 - REGULATION TO REQUIRE REPORTING OF STATISTICAL DATA AND MARKET AVAILABILITY INFORMATION BY PROPERTY AND CASUALTY INSURANCE COMPANIES › Section 210-52-004 - Definitions

Current through June 17, 2024
004.01 Accelerated
				Reports shall mean statistical information that provides data on a quarterly
				basis for the purpose of identifying emerging trends in the commercial
				liability lines of insurance.
004.02 Fast Track Reports shall mean
				information generated from the NAIC Fast Track Monitoring System that gives a
				sampling of significant data for property and casualty insurance on a quarterly
				basis by insurers comprising a major segment of the market for the lines of
				insurance indicated.
004.03 NAIC
				Statistical Handbook shall mean the publication of the National Association of
				Insurance Commissioners (NAIC) that explains insurance statistical data and
				details report formats to be furnished by statistical agents.
004.04 Participating Insurer shall mean an
				insurer licensed to transact the business of property and casualty insurance in
				this state which has a market share for a line or class of insurance greater
				than the amounts defined in Section
00
8 and is
				therefore required to report on either a quarterly or annual basis.
004.05 Statistical Plan shall mean a system
				for collecting and recording insurance premium, loss, exposure and expense
				information.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 52 - REGULATION TO REQUIRE REPORTING OF STATISTICAL DATA AND MARKET AVAILABILITY INFORMATION BY PROPERTY AND CASUALTY INSURANCE COMPANIES › Section 210-52-005 - Powers and duties

Current through June 17, 2024
The Director may enter into agreements with any qualified
				  data collection service corporations, associations or other entities to
				  undertake the compilation and analysis of data collected pursuant to this
				  regulation.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 52 - REGULATION TO REQUIRE REPORTING OF STATISTICAL DATA AND MARKET AVAILABILITY INFORMATION BY PROPERTY AND CASUALTY INSURANCE COMPANIES › Section 210-52-006 - Market availability surveys

Current through June 17, 2024
Insurers shall respond to market availability surveys as may
				  be issued by the Department from time to time. These surveys will require
				  companies to indicate, for those lines and types of insurance listed in the
				  survey, the degree to which an insurer is currently willing to write the
				  coverages listed. Such surveys shall be completed and returned to the
				  Department within 30 days of their issuance.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 52 - REGULATION TO REQUIRE REPORTING OF STATISTICAL DATA AND MARKET AVAILABILITY INFORMATION BY PROPERTY AND CASUALTY INSURANCE COMPANIES › Section 210-52-007 - Statistical reporting

Current through June 17, 2024
Every insurance company licensed to transact the business of
				  property and casualty insurance in this state shall report its insurance
				  statistical experience to at least one of the statistical agents designated by
				  the Director. Such information shall, at a minimum, be in the form and detail
				  outlined below and specified in statistical plans filed with the
				  Director.
007.01 Annual Data Reporting
Insurers shall submit annual data meeting the following
				  specifications to a statistical agent:
007.01A Data Elements: In accordance with
				statistical plans filed with the Director and subject to the exceptions noted
				in
subsection
007.01B, annual data shall include the
				following elements:
007.01A(1) Premiums earned
				(Written premiums shall be reported when a statistical agent uses written
				premiums to calculate earned premiums.);
007.01A(2) Losses paid;
007.01A(3) Allocated loss adjustment expenses
				paid;
007.01A(4) Losses
				outstanding; and
007.01A(5)
				Allocated loss adjustment expenses outstanding.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 52 - REGULATION TO REQUIRE REPORTING OF STATISTICAL DATA AND MARKET AVAILABILITY INFORMATION BY PROPERTY AND CASUALTY INSURANCE COMPANIES › Section 210-52-008 - General liability reporting thresholds

Current through June 17, 2024
Insurers shall report on general liability insurance in
				  accordance with the following reporting level thresholds. These thresholds are
				  based on an analysis of individual insurer premium volume by line and class.
				  Such an analysis shall be made at least every three years by the statistical
				  agent. Any resulting changes to an insurer's reporting level will apply on a
				  prospective basis only.
008.01
				Quarterly Reporting
008.01A An insurer must
				report at least quarterly in accordance with the specifications of commercial
				general liability statistical plans filed with the Director if it is large
				enough to meet any of the following criteria:
008.01A(1) It is in the 80th percentile of
				the total countrywide written premium for all commercial general liability
				lines; or
008.01A(2) It has greater
				than one percent of the statewide written premium for all commercial general
				liability lines.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 52 - REGULATION TO REQUIRE REPORTING OF STATISTICAL DATA AND MARKET AVAILABILITY INFORMATION BY PROPERTY AND CASUALTY INSURANCE COMPANIES › Section 210-52-009 - Statistical plans; filing required

Current through June 17, 2024
Statistical agents shall provide copies of all statistical
				  plans and modifications thereof to the Director. All plans already in use as of
				  the effective date of this rule shall be provided within 60 days after its
				  effective date. All statistical plans or modifications thereof published after
				  the effective date of this rule shall be provided to the Director prior to
				  their use.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 52 - REGULATION TO REQUIRE REPORTING OF STATISTICAL DATA AND MARKET AVAILABILITY INFORMATION BY PROPERTY AND CASUALTY INSURANCE COMPANIES › Section 210-52-010 - Special data requests

Current through June 17, 2024
For lines or classes of insurance where more than 80% of the
				  writings in Nebraska are by three or fewer insurers or company groups, the
				  Director may require premium, exposure and loss information on a special
				  request basis. Such requests shall be limited to the five largest writers of
				  the specialty line in Nebraska, although fewer insurers may be included if
				  sufficient to encompass 80% of the Nebraska market. When the information which
				  the Director has requested is recorded by the insurer, an insurer shall respond
				  to such requests within 60 days, except insurers are not required to submit
				  such information less than six months following the end of the calendar,
				  accident or policy years that are requested.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 52 - REGULATION TO REQUIRE REPORTING OF STATISTICAL DATA AND MARKET AVAILABILITY INFORMATION BY PROPERTY AND CASUALTY INSURANCE COMPANIES › Section 210-52-011 - Additional data collections

Current through June 17, 2024
011.01 Statistical
				agents collecting and compiling data in addition to that collected under
				statistical plans filed with the Director under Section 009 shall provide
				descriptions to the Director of such compilations at the same time such
				compilations are distributed on a general basis or made available for
				distribution on a general basis to member insurers. Exceptions to this
				requirement are as follows:
011.01A Reports
				which are listed in the NAIC Statistical Handbook and are available upon
				request to the Director;
011.01B
				Reports not listed in the NAIC Statistical Handbook, but where the statistical
				agent has given the Director advance notice of the nature of the report and of
				its availability upon request;
011.01C Reports made from compilations of
				annual statements, insurance expense exhibits or other data sources that are
				public in nature;
011.01D
				Compilations made for editing, testing or research purposes and which are not
				distributed to insurers affiliated with the statistical agent on a general
				basis; or
011.01E Compilations of
				data which do not relate directly to indicated rate levels or indicated rate
				discriminations. Reports which directly relate to pricing decisions or whether
				a class of risks should or should not be written due to pricing adequacy are
				not exempted by this exception.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 52 - REGULATION TO REQUIRE REPORTING OF STATISTICAL DATA AND MARKET AVAILABILITY INFORMATION BY PROPERTY AND CASUALTY INSURANCE COMPANIES › Section 210-52-012 - Exemption

Current through June 17, 2024
Upon application by a statistical agent or an individual
				  insurer, the Director may allow the submission of a report or statistical data
				  at a specified later date if the submission of the report or data on the date
				  required by this regulation would create a substantial hardship on the
				  statistical agent or insurer.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 52 - REGULATION TO REQUIRE REPORTING OF STATISTICAL DATA AND MARKET AVAILABILITY INFORMATION BY PROPERTY AND CASUALTY INSURANCE COMPANIES › Section 210-52-013 - Nonreporting insurers

Current through June 17, 2024
Any licensed insurer writing any line of insurance not
				  excepted in section 003 of this rule who finds or believes to have found that
				  they are writing a line, type or class of insurance for which no statistical
				  agent will accept their data shall notify the Director as soon as practicable
				  of this fact.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 52 - REGULATION TO REQUIRE REPORTING OF STATISTICAL DATA AND MARKET AVAILABILITY INFORMATION BY PROPERTY AND CASUALTY INSURANCE COMPANIES › Section 210-52-014 - Severability clause

Current through June 17, 2024
If any provisions of this rule, or the application thereof to
				  any person or circumstance, is held invalid, such invalidity shall not affect
				  other provisions or application of this rule which can be given effect without
				  the invalid portion or application, and to that end, the provisions of this
				  rule are severable.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 52 - REGULATION TO REQUIRE REPORTING OF STATISTICAL DATA AND MARKET AVAILABILITY INFORMATION BY PROPERTY AND CASUALTY INSURANCE COMPANIES › Section 210-52-015 - Operative date

Current through June 17, 2024
This rule shall become operative on January 1,
				  1990.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 54 - REGULATION TO IMPLEMENT TRANSITIONAL REQUIREMENTS FOR THE CONVERSION OF MEDICARE SUPPLEMENT INSURANCE BENEFITS AND PREMIUMS TO CONFORM TO REPEAL OF MEDICARE CATASTROPHIC COVERAGE ACT › Section 210-54-001 - Purpose

Current through June 17, 2024
The purpose of this regulation is to assure the orderly
				  implementation and conversion of Medicare supplement insurance benefits and
				  premiums due to changes in the federal Medicare Program; to provide for the
				  reasonable standardization of the coverage, terms and benefits of Medicare
				  supplement policies or contracts; to facilitate public understanding of such
				  policies or contracts; to eliminate provisions contained in such policies or
				  contracts which may be misleading or confusing in connection with the purchase
				  of such policies or contracts; to eliminate policy or contract provisions which
				  may duplicate Medicare benefits; to provide for adjustment of required minimum
				  benefits for Medicare supplement policies; to provide notice to former
				  policyholders of offer to reinstitute coverage; to provide full disclosure of
				  policy or contract benefits and benefit changes; and to provide for appropriate
				  premium adjustments.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 54 - REGULATION TO IMPLEMENT TRANSITIONAL REQUIREMENTS FOR THE CONVERSION OF MEDICARE SUPPLEMENT INSURANCE BENEFITS AND PREMIUMS TO CONFORM TO REPEAL OF MEDICARE CATASTROPHIC COVERAGE ACT › Section 210-54-002 - Authority

Current through June 17, 2024
This regulation is issued pursuant to the authority vested in
				  the Director under
Neb.Rev.Stat
., §
									44-101.01,
the Unfair Insurance Trade Practices Act,
§
									44-152
1 et seq
., and
the Medicare Supplement
				  Insurance Minimum Standards Act,
§
									44-3601
etseq
.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 54 - REGULATION TO IMPLEMENT TRANSITIONAL REQUIREMENTS FOR THE CONVERSION OF MEDICARE SUPPLEMENT INSURANCE BENEFITS AND PREMIUMS TO CONFORM TO REPEAL OF MEDICARE CATASTROPHIC COVERAGE ACT › Section 210-54-003 - Applicability and scope

Current through June 17, 2024
This regulation shall take precedence over other rules and
				  requirements relating to Medicare supplement policies or contracts only to the
				  extent necessary to assure that benefits are not duplicated and to adjust
				  minimum required benefits to changes in Medicare benefits, that applicants
				  receive adequate notice and disclosure of changes in Medicare supplement
				  policies and contracts, that appropriate premium adjustments are made in a
				  timely manner, and that premiums are reasonable in relation to benefits.
003.01 Except as otherwise provided in
				Section 005, this regulation shall apply to:
003.01A All Medicare supplement policies and
				contracts delivered, or issued for delivery, or which are otherwise subject to
				the jurisdiction of this state on or after the effective date hereof,
				and
003.01B All certificates issued
				under group Medicare supplement policies as provided in
subsection
003.01A above.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 54 - REGULATION TO IMPLEMENT TRANSITIONAL REQUIREMENTS FOR THE CONVERSION OF MEDICARE SUPPLEMENT INSURANCE BENEFITS AND PREMIUMS TO CONFORM TO REPEAL OF MEDICARE CATASTROPHIC COVERAGE ACT › Section 210-54-004 - Definitions

Current through June 17, 2024
004.01 For purposes
				of this regulation:
004.01A "Applicant"
				means:
004.01A(1) In the case of an
				individual Medicare supplement policy or contract, the person who seeks to
				contract for insurance benefits, and
004.01A(2) In the case of a group Medicare
				supplement policy or contract, the proposed certificateholder.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 54 - REGULATION TO IMPLEMENT TRANSITIONAL REQUIREMENTS FOR THE CONVERSION OF MEDICARE SUPPLEMENT INSURANCE BENEFITS AND PREMIUMS TO CONFORM TO REPEAL OF MEDICARE CATASTROPHIC COVERAGE ACT › Section 210-54-005 - Benefit conversion requirements

Current through June 17, 2024
005.01 Effective
				January 1, 1990, no Medicare supplement insurance policy, contract or
				certificate in force in this state shall contain benefits which duplicate
				benefits provided by Medicare.
005.02 Benefits eliminated by operation of
				the Medicare Catastrophic Coverage Act of 1988 transition provisions shall be
				restored.
005.03 For Medicare
				supplement policies subject to the minimum standards adopted by the states
				pursuant to Medicare Catastrophic Coverage Act of 1988, the minimum benefits
				shall be:
005.03A Coverage of Part A Medicare
				eligible expenses for hospitalization to the extent not covered by Medicare
				from the 61st day through the 90th day in any Medicare benefit
				period;
005.03B Coverage for either
				all or none of the Medicare Part A inpatient hospital deductible
				amount.
005.03C Coverage of Part A
				Medicare eligible expenses incurred as daily hospital charges during use of
				Medicare's lifetime hospital inpatient reserve days;
005.03D Upon exhaustion of all Medicare
				hospital inpatient coverage including the lifetime reserve days, coverage of
				ninety percent of all Medicare Part A eligible expenses for hospitalization not
				covered by Medicare subject to a lifetime maximum benefit of an additional 365
				days;
005.03E Coverage under
				Medicare Part A for the reasonable cost of the first three (3) pints of blood
				(or equivalent quantities of packed red blood cells, as defined under federal
				regulations) unless replaced in accordance with federal regulations or already
				paid for under Part B;
005.03F
				Coverage for the coinsurance amount of Medicare eligible expenses under Part B
				regardless of hospital confinement, subject to a maximum calendar year
				out-of-pocket amount equal to the Medicare Part B deductible [$75].
005.03G Effective January 1, 1990, coverage
				under Medicare Part B for the reasonable cost of the first three (3) pints of
				blood (or equivalent quantities of packed red blood cells, as defined under
				federal regulations), unless replaced in accordance with federal regulations or
				already paid for under Part A, subject to the Medicare deductible
				amount.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 54 - REGULATION TO IMPLEMENT TRANSITIONAL REQUIREMENTS FOR THE CONVERSION OF MEDICARE SUPPLEMENT INSURANCE BENEFITS AND PREMIUMS TO CONFORM TO REPEAL OF MEDICARE CATASTROPHIC COVERAGE ACT › Section 210-54-006 - Form and rate filing requirements

Current through June 17, 2024
006.01 As soon as
				practicable, but no longer than forty-five (45) days after the effective date
				of the Medicare benefit changes, every insurer, health care service plan or
				other entity providing Medicare supplement insurance or contracts in this State
				shall file with the Department, in accordance with the applicable filing
				procedures of this State:
006.01A Appropriate
				premium adjustments necessary to produce loss ratios as originally anticipated
				for the applicable policies or contracts. Such supporting documents as
				necessary to justify the adjustment shall accompany the filing.
006.01B Any appropriate riders, endorsements
				or policy forms needed to accomplish the Medicare supplement insurance
				modifications necessary to eliminate benefit duplications with Medicare and to
				provide the benefits required by section 005. Any such riders, endorsements or
				policy forms shall provide a clear description of the Medicare supplement
				benefits provided by the policy or contract.
Nebraska Administrative Code › Topic - INSURANCE, DEPARTMENT OF › Title 210 - NEBRASKA DEPARTMENT OF INSURANCE › Chapter 54 - REGULATION TO IMPLEMENT TRANSITIONAL REQUIREMENTS FOR THE CONVERSION OF MEDICARE SUPPLEMENT INSURANCE BENEFITS AND PREMIUMS TO CONFORM TO REPEAL OF MEDICARE CATASTROPHIC COVERAGE ACT › Section 210-54-007 - Offer of reinstitution of coverage

Current through June 17, 2024
007.01 Except as
				provided in
sub s
ection 007.02, in the case of an
				individual who had in effect, as of December 31, 1988, a Medicare supplemental
				policy with an insurer (as a policyholder or, in the case of a group policy, as
				a certificateholder) and the individual terminated coverage under such policy
				before the date of the enactment of the repeal of the Medicare Catastrophic
				Coverage Act of 1988, the insurer shall:
007.01A Provide written notice no earlier
				than December 15, 1989, and no later than January 30, 1990, to the policyholder
				or certificate-holder (at the most recent available address) of the offer
				described below; and
007.01B Offer
				the individual, during a period of at least 60 days beginning not later than
				February 1, 1990, reinstitution of coverage (with coverage effective as of
				January 1, 1990), under the terms which:
007.01B(1) Does not provide for any waiting
				period with respect treatment of pre-existing conditions;
007.01B(2) Provides for coverage which is
				substantially equivalent to coverage in effect before the date of such
				termination; and
007.01B(3)
				Provides for classification of premiums on which terms are at least as
				favorable to the policyholder or certificateholder as the premium
				classification terms that would have applied to the policyholder or
				certificateholder had the coverage never terminated.