Legislative Session number- 84

Bill Name: HF0925

HF 925

CHAPTER 17
EFFECTIVE DATE: Various

Medicare related coverage federal
conformity, financial solvency regulation for stand-alone Medicare Part D
prescription drug plans, and related technical changes provided.

ARTICLE
1--FEDERALLY CONFORMING CHANGES IN MEDICARE-RELATED COVERAGES

Section 1:
Suspended policy reinstitution regulation conformity provided.
Sec. 2:
Guaranteed renewability provisions modified.
Sec. 3: Coverage termination
regulation conformity provided.
Sec. 4: Prescription drug coverage regulations
modified.
Sec. 5: Lack of drug coverage notification requirements
modified.
Sec. 6: Eligible persons guaranteed issue modified.
Sec. 7: Related
definitions modified.
Sec. 8: Benefit duplication authorization specified.
Sec.
9: Drug benefit under medicare modified.
Sec. 10: Basic medicare supplement
plan coverage modified.
Sec. 11: Conforming changes with prescription drug
benefit modifications.
Sec. 12: Medicare select policies and certificates
conformity provided.
Sec. 13: Refund provisions added.
Sec. 14: Revisor
instruction.
Sec. 15: Effective date.

ARTICLE 2--REGULATION OF STAND-ALONE
MEDICARE PART D PRESCRIPTION DRUG PLANS

Section 1: Related terms defined.
Sec.
2: Certificate of authority required.
Sec. 3: Application for certificate of
authority required.
Sec. 4: Certificate of authority denial procedures
specified.
Sec. 5: Filing requirements for authorized entities provided.
Sec.
6: Material modifications provided.
Sec. 7: Coverage evidence issuance
required.
Sec. 8: Construction with other laws regulations specified.
Sec. 9:
Nonduplication of coverage required.
Sec. 10: Complaint system establishment
required.
Sec. 11: Organization examination requirement provided.
Sec. 12:
Investments required.
Sec. 13: Agents specified.
Sec. 14: Insolvency
protection deposit requirement specified.
Sec. 15: Officers and employees
fidelity bond provided.
Sec. 16: Reporting requirements detailed.
Sec. 17:
Certificate of authority suspension or revocation procedures established.
Sec.
18: Penalties provided
Sec. 19: Rehabilitation, conservation, or liquidation
provisions listed.
Sec. 20: Effective date.

ARTICLE 3--TECHNICAL AND
CONFORMING CHANGES
Section 1: Exceptions provided.
Sec. 2: Technical change
provided.
Sec. 3: HMO community integrated service network surcharge technical
change provided.

AME
2-24-05