N.H. Code Admin. R. Ins 1903.03 - Definitions

(a) "Applicant" means:

(1) In the case of an individual medicare supplement policy or subscriber contract, the person who seeks to contract for insurance benefits; and

(2) In the case of group medicare supplement policy or subscriber contract, the proposed certificateholder.

(b) "Certificate" means any certificate issued under a group medicare supplement policy, which policy has been advertised, solicited, delivered, or issued for delivery in this state.

(c) "Insurer" means an insurance company, hospital service corporation, medical service corporation, health service corporation, health maintenance organization or other entity subject to Title XXXVII of the New Hampshire code.

(d) "Medicare supplement policy" means either a group or individual policy of accident and health insurance or a subscriber contract of an insurer that is designed primarily to supplement coverage for hospital, medical or surgical expenses incurred by an insured person which are not covered by medicare. Such term does not include:

(1) A policy or contract of one or more employers or labor organizations, or of the trustees of a fund established by one or more employers or labor organizations, or combination thereof, or for members or former members, or combination thereof, of the labor organizations; or

(2) A policy or contract of any professional, trade or occupational association for its members or former or retired members, or combination thereof, if such association:

a. Is composed of individuals all of whom are actively engaged in the same profession, trade or occupation;

b. Has been maintained in good faith for purposes other than obtaining insurance; and

c. Has been in existence for at least 2 years prior to the date of its initial offering of such policy or plan to its members.

Notes

N.H. Code Admin. R. Ins 1903.03

#8556, eff 2-1-06