In addition to the definitions in Iowa Code section
507B2. and rule
191-152. (5-107B),
the following definitions shall apply to 191-Chapter 37, Division II. When
there is a definition for a term in this rule and also in Iowa Code section
507B2. or rule
191-152. (507B), the
definition in this rule shall take precedence.
"Advertisement" includes:
1. The definition of "advertisement" in rule
191-152.
(507B).
2. Advertising material
included with a policy when the policy is delivered and material used in the
solicitation of renewals and reinstatements.
3. The definition of "advertisement" does not
include:
* Items excluded in the definition of "advertisement" in rule
191-15.2 (507B).
* Correspondence between a prospective group or blanket
policyholder and an insurer in the course of negotiating a group or blanket
contract.
* Court-approved material ordered by a court to be
disseminated to policyholders.
"Certificate" means any certificate issued
under a group Medicare supplement policy, which certificate has been delivered
or issued for delivery in this state.
"Institutional advertisement" means an
advertisement having as its sole purpose the promotion of the reader's,
viewer's or listener's interest in the concept of Medicare supplement
insurance, or the promotion of the insurer as a seller of Medicare supplement
insurance.
"Lead-generating device" means any
communication directed to the public that, regardless of form, content or
stated purpose, is intended to result in the compilation or qualification of a
list containing names and other personal information to be used to solicit
residents of this state for the purchase of Medicare supplement
insurance.
"Limitation" means any provision other than
an exception or a reduction that restricts coverage under the policy.
"Medicare" means "The Health Insurance for
the Aged Act, Title XVIII of The Social Security Amendments of 1965 as Then
Constituted or Later Amended," or Title I, Part I, of Public Law 89-97, as
enacted by the Eighty-Ninth Congress of the United States of America, and also
known as the "Health Insurance for the Aged Act, as then constituted and any
later amendments or substitutes thereof," or words of similar import.
"Medicare supplement insurance" means a
group or individual policy of accident and sickness insurance or a subscriber
contract of hospital and medical service associations or health maintenance
organizations that is advertised, marketed or designed primarily as a
supplement to reimbursements under Medicare for the hospital, medical or
surgical expenses of persons eligible for Medicare by reason of age.
"Person" means a natural person,
association, organization, partnership, trust, group, discretionary group,
corporation or any other entity.
"Reduction" means any provision that reduces
the amoimt of the benefit; a risk of loss is assumed but payment upon the
occurrence of the loss is limited to some amount or period less than would be
otherwise payable had the reduction not been used.
