Sec. 9.5. (a) This section applies:

(1) after June 30, 2020; and

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Terms Used In Indiana Code 27-8-13-9.5

  • 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
(2) to a Medicare supplement policy or certificate made available under section 9(e) of this chapter to an individual who is eligible for and enrolled in Medicare by reason of disability as described in 42 U.S.C. § 1395c(2).

     (b) A Medicare supplement policy or certificate described in subsection (a) must meet the following requirements:

(1) Except as provided in this section, meet all requirements of this chapter that apply to a Medicare supplement policy or certificate made available to a person who is at least sixty-five (65) years of age and eligible for Medicare as described in 42 U.S.C. § 1395c(1).

(2) Be standardized as Plan A by the federal Centers for Medicare and Medicaid Services.

     (c) An individual may enroll in a Medicare supplement policy or certificate under this section as follows:

(1) At any time the individual is authorized or required to enroll under federal law.

(2) Either:

(A) on July 1, 2020; or

(B) six (6) months after enrolling in Medicare Part B;

whichever is later.

(3) Within six (6) months after receiving notice that the individual has been retroactively enrolled in Medicare Part B due to a retroactive eligibility decision under 42 U.S.C. § 1395.

(4) Within six (6) months after experiencing a qualifying event under 42 U.S.C. § 1395.

     (d) Notwithstanding any other law, an issuer or another entity may provide to an insurance producer or another agent of the issuer or other entity a commission or other compensation of not more than two percent (2%) of the premium for the sale of a Medicare supplement policy or certificate described in subsection (a).

     (e) This section expires January 1, 2025.

As added by P.L.227-2019, SEC.3. Amended by P.L.156-2020, SEC.110; P.L.28-2024, SEC.4.

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