Sec. 14. (a) In order to provide for full and fair disclosure in the sale of Medicare supplement policies, a Medicare supplement policy or certificate may not be delivered in Indiana unless an outline of coverage is delivered to the applicant at the time application is made.

Ask an insurance law question, get an answer ASAP!
Click here to chat with a lawyer about your rights.

Terms Used In Indiana Code 27-8-13-14

  • applicant: means :

    Indiana Code 27-8-13-5

  • certificate: means a certificate:

    Indiana Code 27-8-13-6

  • issuer: includes :

    Indiana Code 27-8-13-7.3

  • medicare: means Title XVIII of the federal Social Security Act (Indiana Code 27-8-13-1
  • Medicare supplement policy: means a group or individual policy of accident and sickness insurance or a subscriber contract of health maintenance organizations that is advertised, marketed, or designed primarily as a supplement to reimbursements under Medicare for the hospital, medical, or surgical expenses of persons eligible for Medicare benefits. See Indiana Code 27-8-13-3
     (b) The commissioner shall prescribe by rule adopted under IC 4-22-2 the form and content of the outline of coverage required by subsection (a). For purposes of this section, “form” means style, arrangements, and overall appearance, including such items as the size, color, and prominence of type and arrangement of text and captions. The outline of coverage must include the following:

(1) A description of the principal benefits and coverage provided in the policy.

(2) A statement of the renewal provisions, including a reservation by the issuer of a right to change premiums, and a disclosure of the existence of any automatic premium increases based on the policyholder’s age.

(3) A statement that the outline of coverage is a summary of the policy issued or applied for and that the policy should be consulted to determine governing contractual provisions.

As added by P.L.255-1989, SEC.11. Amended by P.L.126-1992, SEC.11.