Connecticut 2013 Regular Session

Connecticut Senate Bill SB00938 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1	1		General Assembly Raised Bill No. 938
2	2		January Session, 2013 LCO No. 3413
3		-	_____~~SB00938INS~~___~~042413~~____
	3	+	_____SB00938AGE___030713____
4	4		Referred to Committee on AGING
5	5		Introduced by:
6	6		(AGE)
7	7
8	8		General Assembly
9	9
10	10		Raised Bill No. 938
11	11
12	12		January Session, 2013
13	13
14	14		LCO No. 3413
15	15
16		-	_____~~SB00938INS~~___~~042413~~____
	16	+	_____SB00938AGE___030713____
17	17
18	18		Referred to Committee on AGING
19	19
20	20		Introduced by:
21	21
22	22		(AGE)
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24	24		AN ACT CONCERNING THE PURCHASE OF MEDICARE SUPPLEMENT POLICIES BY QUALIFIED MEDICARE BENEFICIARIES.
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26	26		Be it enacted by the Senate and House of Representatives in General Assembly convened:
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28	28		Section 1. Section 38a-495c of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2013):
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30	30		(a) Each insurance company, fraternal benefit society, hospital service corporation, medical service corporation, health care center or other entity in this state that delivers, issues for delivery, continues or renews any Medicare supplement insurance policies or certificates shall base the premium rates charged on a community rate. Such rate shall not be based on age, gender, previous claims history or the medical condition of the person covered by such policy or certificate. Except as provided in subsection (c) of this section, coverage shall not be denied on the basis of age, gender, previous claim history or the medical condition of the person covered by such policy or certificate.
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32	32		(b) Nothing in this section shall prohibit an insurance company, fraternal benefit society, hospital service corporation, medical service corporation, health care center or other entity in this state issuing Medicare supplement insurance policies or certificates from using its usual and customary underwriting procedures, provided no such company, society, corporation, center or other entity shall issue a Medicare supplement policy or certificate based on the age, gender, previous claims history or the medical condition of the applicant.
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34	34		(c) Nothing in this section shall prohibit an insurance company, fraternal benefit society, hospital service corporation, medical service corporation, health care center or other entity in this state when granting coverage under a Medicare supplement policy or certificate from excluding benefits for losses incurred within six months from the effective date of coverage based on a preexisting condition, in accordance with section 38a-495a and the regulations adopted pursuant to section 38a-495a.
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36	36		(d) Each insurance company, fraternal benefit society, hospital service corporation, medical service corporation, health care center or other entity in the state issuing Medicare supplement policies or certificates for plan "A", "B" or "C", or any combination thereof, to persons eligible for Medicare by reason of age, shall offer for sale the same such policies or certificates to persons eligible for Medicare by reason of disability.
37	37
38	38		(e) To the extent permissible by federal law, each insurance company, fraternal benefit society, hospital service corporation, medical service corporation, health care center or other entity in the state issuing Medicare supplement policies or certificates for plan "A", "B" or "C", or any combination thereof, may deliver or issue for delivery such policy to a qualified Medicare beneficiary, as defined in 42 USC 1396d(p).
39	39
40	40		[(e)] (f) Each insurance company, fraternal benefit society, hospital service corporation, medical service corporation, health care center or other entity in the state issuing Medicare supplement policies or certificates shall make all necessary arrangements with the Medicare Part B carrier and all Medicare Part A intermediaries to allow for the forwarding, to the issuing entity, of all Medicare claims containing the name of the entity issuing a Medicare supplement policy or certificate and the identification number of an insured. The entity issuing the Medicare supplement policy or certificate shall process all benefits available to an insured from a Medicare claim so forwarded, without requiring any additional action on the part of the insured.
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42	42		[(f)] (g) The Insurance Commissioner may adopt regulations, in accordance with chapter 54, to implement this section.
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47	47		This act shall take effect as follows and shall amend the following sections:
48	48		Section 1 July 1, 2013 38a-495c
49	49
50	50		This act shall take effect as follows and shall amend the following sections:
51	51
52	52		Section 1
53	53
54	54		July 1, 2013
55	55
56	56		38a-495c
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58	58
59	59
60	60		AGE Joint Favorable
61		-	INS Joint Favorable
62	61
63	62		AGE
64		-
65		-	Joint Favorable
66		-
67		-	INS
68	63
69	64		Joint Favorable