North Dakota Administrative Code › Title 45 - Insurance, Commissioner of › Article 45-06 - Accident and Health Insurance › Chapter 45-06-01.1 - MEDICARE SUPPLEMENT INSURANCE MINIMUM STANDARDS › Section 45-06-01.1-07.2 - Standard Medicare supplement benefit plans for 2020 standardized Medicare supplement benefit plan policies or certificates issued for delivery to individuals newly eligible for Medicare on or after January 1, 2020

Current through Supplement No. 393, July, 2024
The Medicare Access and CHIP Reauthorization Act of 2015
				  requires the following standards are applicable to all Medicare supplement
				  policies or certificates delivered or issued for delivery in this state to
				  individuals newly eligible for Medicare on or after January 1, 2020. No policy
				  or certificate that provides coverage of the Medicare part B deductible may be
				  advertised, solicited, delivered or issued for delivery in this state as a
				  Medicare supplement policy or certificate to individuals newly eligible for
				  Medicare on or after January 1, 2020. All policies must comply with the
				  following benefit standards. Benefit plan standards applicable to Medicare
				  supplement policies and certificates issued to individuals eligible for
				  Medicare before January 1, 2020, remain subject to the requirements of sections
				  45-06-01.1-06, 45-06-01.1-06.1, 45-06-01.1-07, and 45-06-01.1-07.1.
1. Benefit requirements. The standards and
				requirements of section 45-06-01.1-07.1 apply to all Medicare supplement
				policies or certificates delivered or issued for delivery to individuals newly
				eligible for Medicare on or after January 1, 2020, with the following
				exceptions:
a. Standardized Medicare
				supplement benefit plan C is redesignated as plan D and must provide the
				benefits contained in subdivision c of subsection 5 of section 45-06-01.1-07.1
				of this regulation but may not provide coverage for one hundred percent or any
				portion of the Medicare part B deductible.
b. Standardized Medicare supplement benefit
				plan F is redesignated as plan G and must provide the benefits contained in
				subdivision e of subsection 5 of section 45-06-01.1-07.1 of this regulation but
				may not provide coverage for one hundred percent or any portion of the Medicare
				part B deductible.
c. Standardized
				Medicare supplement benefit places C, F, and F with high deductible may not be
				offered to individuals newly eligible for Medicare on or after January 1,
				2020.
d. Standardized Medicare
				supplement benefit plan F with high deductible is redesignated as plan G with
				high deductible and must provide the benefits contained in subdivision f of
				subsection 5 of section 45-06-01.1-07.1 of this regulation but may not provide
				coverage for one hundred percent or any portion of the Medicare part B
				deductible; provided further that, the Medicare part B deductible paid by the
				beneficiary shall be considered an out-of-pocket expense in meeting the annual
				high deductible.
e. The reference
				to plans C or F contained in subdivision b of subsection 1 of section
				45-06-01.1-07.1 is deemed a reference to plans D or G for purposes of this
				section.