No. 29822: R590-146. Medicare Supplement Insurance Standards

DAR File No.: 29822
Filed: 04/16/2007, 11:51
Received by: NL

NOTICE OF REVIEW AND STATEMENT OF CONTINUATION

Concise explanation of the particular statutory provisions under which the rule is enacted and how these provisions authorize or require the rule:

Subsection 31A-620(3)(c) requires the commissioner to adopt rules to establish minimum standards for individual and group Medicare supplement insurance. The rule sets standards for policy provisions, benefits, the standard benefit plan, open enrollment, guaranteed issue, claim payment, loss ratio, refunds, filing and approval of policies, certificates and premium rates, permitted compensation arrangements and disclosure provisions, application forms, replacement forms, and Medicare Select policies.

Summary of written comments received during and since the last five-year review of the rule from interested persons supporting or opposing the rule:

In mid-2005 this rule was amended and comments were received. Comments included: 1) grammatical changes; 2) elimination of duplicate and redundant language; 3) request to add a provision listing the plans to which people are entitled if they are eligible for guaranteed issue; 4) suggested the outline of coverage be incorporated; 5) bracketing in the outline of coverage be corrected; 6) the reference to the outpatient drug deductible in Plan J be removed; and 7) add an effective date section to implement some changes in the rule in 2006. No other comments were received outside of that comment period regarding this rule.

Reasoned justification for continuation of the rule, including reasons why the agency disagrees with comments in opposition to the rule, if any:

This rule is the guidance for the Medicare Supplement plans sold in our state. Citizens may be harmed without this rule. Therefore, this rule should be continued.

The full text of this rule may be inspected, during regular business hours, at the Division of Administrative Rules, or at:

Insurance
Administration
Room 3110 STATE OFFICE BLDG
450 N MAIN ST
SALT LAKE CITY UT 84114-1201

Direct questions regarding this rule to:

Jilene Whitby at the above address, by phone at 801-538-3803, by FAX at 801-538-3829, or by Internet E-mail at [e-mail]

Authorized by:

Jilene Whitby, Information Specialist