Haw. Code R. § 16-12-9 - Outline of coverage requirements for Medicare supplement policies
(a) Issuers shall provide an outline of
coverage to all applicants at the time the application is presented to the
prospective applicant and, except for direct response policies, shall obtain an
acknowledgment of receipt of the outline from the applicant.
(b) If an outline of coverage is provided at
the time of application and the Medicare supplement policy or certificate is
issued on a basis which would require revision of the outline, a substitute
outline of coverage properly describing the policy or certificate shall
accompany the policy or certificate when it is delivered and contain the
following statement, in no less than twelve point type, immediately above the
company name:
"NOTICE: Read this outline of coverage carefully. It is not identical to the outline of coverage provided upon application and the coverage originally applied for has not been issued."
(c) The outline of coverage provided to
applicants pursuant to this section consists of four parts: a cover page,
premium information, disclosure pages, and charts displaying the features of
each benefit plan offered by the issuer. The outline of coverage shall be in
the language and format prescribed below in no less than twelve point type. All
Plans A-L shall be shown on the cover page, and the plan(s) that are offered by
the issuer shall be prominently identified. Premium information for plans that
are offered shall be shown on the cover page or immediately following the cover
page and shall be prominently displayed. The premium and mode shall be stated
for all plans that are offered to the prospective applicant. All possible
premiums for the prospective applicant shall be illustrated.
(d) The outline of coverage provided to the
applicant pursuant to subsections (a), (b), and (c) shall be in the form
prescribed in Exhibit A (revised 2019), located at the end of this chapter,
which is made a part of this section.
Notes
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