Oklahoma Administrative Code › Title 365 - Insurance Department › Chapter 10 - Life, Accident and Health › Subchapter 5 - Minimum Standards; Contract Guidelines › Part 13 - MEDICARE SUPPLEMENT INSURANCE MINIMUM STANDARDS › Section 365:10-5-135 - Requirements for application forms and replacement coverage

Current
				  through Vol. 41, No. 20, July 1, 2024
(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 Medicare supplement,
				  Medicare Advantage, Medicaid coverage, or another health insurance policy or
				  certificate in force or whether a Medicare supplement policy or certificate is
				  intended to replace any other accident and health policy or certificate
				  presently in force. A supplementary application or other form to be signed by
				  the applicant and agent containing such questions and statements may be used.
(1)
Statements.
(A) You do not need more than one Medicare
				  supplement policy.
(B) If you
				  purchase this policy, you may want to evaluate your existing health coverage
				  and decide if you need multiple coverages.
(C) You may be eligible for benefits under
				  Medicaid and may not need a Medicare supplement policy.
(D) If after purchasing this policy, you
				  become eligible for Medicaid, the benefits and premiums under your Medicare
				  supplement policy can be suspended, if requested, during your entitlement to
				  benefits under Medicaid for 24 months. You must request this suspension within
				  90 days of becoming eligible for Medicaid. If you are no longer entitled to
				  Medicaid, your suspended Medicare supplement policy will be reinstituted if
				  requested within 90 days of losing Medicaid eligibility. If the Medicare
				  supplement policy provided coverage for outpatient prescription drugs and you
				  enrolled in Medicare Part D while your policy was suspended, the reinstituted
				  policy will not have outpatient prescription drug coverage, but will otherwise
				  be substantially equivalent to your coverage before the date of the
				  suspension.
(E) If you are eligible
				  for, and have enrolled in a Medicare supplement policy by reason of disability
				  and you later become covered by an employer or union-based group health plan,
				  the benefits and premiums under your Medicare supplement policy can be
				  suspended, if requested, while you are covered under the employer or
				  union-based group health plan. If you suspend your Medicare supplement policy
				  under these circumstances, and later lose your employer or union-based group
				  health plan, your suspended Medicare supplement policy (or, if that is not
				  longer available, a substantially equivalent policy) will be reinstituted if
				  requested within ninety (90) days of losing your employer or union-based group
				  health plan. If the Medicare supplement policy provided coverage for outpatient
				  prescription drugs and you enrolled in Medicare Part D while your polcy was
				  suspended, the reinstituted policy will not have outpatient prescription drug
				  coverage, but will otherwise be substantially equivalent to your coverage
				  before the date of the suspension.
(F) Counseling services may be available in
				  your state to provide advice concerning your purchase of Medicare supplement
				  insurance and concerning medical assistance through the state Medicaid program,
				  including benefits as a Qualified Medicare Beneficiary (QMB) and a Specified
				  Low-Income Medicare Beneficiary (SLMB).