Act 795, HB 170

• Year: 2000
• Session: 2000 Regular Session

Page 0

HB1701

14234-112

By Representative Newton (C)3

RFD: Health 4

First Read: 01-FEB-2000 5

HB170

Page 1

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Enrolled, An Act,2

Relating to insurance; to provide further for the3

regulation of Medicare supplement insurance and long-term care4

insurance by amending Sections 27-19-52, 27-19-53, 27-19-54,5

27-19-55, 27-19-56, and 27-19-57, and by adding Sections6

27-19-52.1, 27-19-57.1, 27-19-57.2, and 27-19-59, Code of7

Alabama 1975, and adding an Article 3 (commencing with Section8

27-19-100) to Chapter 19 of Title 27 of the Code of Alabama9

1975, establishing the "Long-Term Care Insurance Policy10

Minimum Standards Act" and authorize the promulgation of11

regulations therefor by the Commissioner of Insurance, and by12

amending Section 10-4-115, Code of Alabama 1975.13

BE IT ENACTED BY THE LEGISLATURE OF ALABAMA:14

Section 1. Sections 27-19-52, 27-19-53, 27-19-54,15

27-19-55, 27-19-56, and 27-19-57, Code of Alabama 1975, are16

amended to read as follows:17

"§27-19-52.18

"For purposes of this article, the following terms19

shall have the meaning indicated herein:20

"(1) APPLICANT. Includes either of the following:

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"a. In the case of an individual Medicare supplement22

policy or subscriber contract, the person who seeks to23

contract for insurance benefits, and .24

HB170

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"b. In the case of a group Medicare supplement1

policy or subscriber contract, the proposed certificate holder.2

"(2) CERTIFICATE. Any certificate issued under a3

group Medicare supplement policy, which policy has been4

delivered or issued for delivery in this state.5

"(3) CERTIFICATE FORM. The form on which the6

certificate is delivered or issued for delivery by the issuer.

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"(4) ISSUER. Insurance companies, fraternal benefit8

societies, health care service plans, health maintenance

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organizations, and any other entity delivering or issuing for

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delivery in this state Medicare supplement policies or

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certificates.

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"(5) MEDICARE. The "Health Insurance for the Aged13

Act," Title XVIII of the Social Security Amendments of 1965,

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as then constituted or later amended.

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"(3)(6) MEDICARE SUPPLEMENT POLICY. A group or16

individual policy of disability insurance or a nonprofit17

hospital and medical plan contract or a subscriber contract of

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a health maintenance organization, other than a policy issued

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pursuant to a contract under Section 1876 of the federal

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Social Security Act (42 U.S.C. Section 1395, et seq.), or an

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issued policy under a demonstration project specified in 42

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U.S.C. Section 1395ss (g)(1), which is advertised, marketed or23

designed primarily as a supplement to reimbursements under24

Medicare for the hospital, medical or surgical expenses of25

persons eligible for Medicare. Such term does not include:

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