Iowa Admin. Code r. 191-37.26 - Required notice regarding policies or certificates which are not Medicare supplement policies or certificates

(1) Issuer required to disclose that a policy is not a Medicare supplement policy. An issuer of any accident and sickness insurance policy or certificate issued for delivery in this state to a person eligible for Medicare shall notify the insured under the policy that the policy is not a Medicare supplement policy or certificate, if the policy or certificate is not a Medicare supplement policy or certificate.

a. The notice shall either be printed or attached to the first page of the outline of coverage delivered to the insured under the accident and sickness policy or, if no outline of coverage is delivered, to the first page of the policy or certificate delivered to the insured.

b. The notice shall be in no less than 12-point type and shall contain the following language:

"THIS [POLICY OR CERTIFICATE] IS NOT A MEDICARE SUPPLEMENT [POLICY OR CONTRACT]. If you are eligible for Medicare, review the [insert name of most recent version of 2019 Choosing a Medigap Policy: Guide to Health Insurance for People with Medicare, issued by Centers for Medicare and Medicaid Services] available from the company."

c. The notice requirement of this subrule 37.26(1) shall not apply to an accident and sickness insurance policy or certificate that is a Medicare supplement policy or certificate, a policy issued pursuant to a contract under Section 1876 of the federal Social Security Act ( 42 U.S.C. Section 1395 et seq.), a disability income policy, or any other policy excepted by rule 191-372. (514D).

(2) Issuer required to disclose extent of duplication of Medicare. When providing an application to persons eligible for Medicare for the health insurance policies or certificates described in subrule 37.26(1), except for policies or certificates excluded by paragraph 37.26(1)"c," issuers shall disclose the extent to which a policy duplicates Medicare. The disclosure shall use the applicable statement in Appendix B and shall be provided as a part of, or together with, the application for the policy or certificate.

Notes

Iowa Admin. Code r. 191-37.26

ARC 7964B, lAB 7/15/09, effective 8/19/09 Amended by IAB April 10, 2019/Volume XLI, Number 21, effective 5/15/2019