House Bill No. 6886
House Bill No. 6886
PUBLIC ACT NO. 97-57
AN ACT CONCERNING OBRA 90 AMENDMENTS AFFECTING
MEDICARE SUPPLEMENT INSURANCE.
Be it enacted by the Senate and House of
Representatives in General Assembly convened:
Section 1. Subdivision (7) of subsection (a)
of section 38a-495a of the general statutes is
repealed and the following is substituted in lieu
thereof:
(7) "Medicare supplement policy" means (A) a
group or individual policy of accident and
sickness insurance or (B) a subscriber contract of
hospital and medical service corporations or
health care centers, other than a policy issued
pursuant to a contract under Section 1876 [or
Section 1833] of the federal Social Security Act
(42 USC Section 1395 et seq.), or (C) an issued
policy under a demonstration project [authorized
pursuant to amendments to the federal Social
Security Act] SPECIFIED IN 42 USC SECTION 1395ss
(g)(1), which 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.
Sec. 2. Subsection (d) of section 38a-495a of
the general statutes is repealed and the following
is substituted in lieu thereof:
(d) [The] EXCEPT AS OTHERWISE SPECIFICALLY
PROVIDED IN SUBDIVISION (4) OF SUBSECTION (l) OF
THIS SECTION, THE provisions of this section shall
not apply to insurance policies or health care
benefit plans, including group conversion
policies, provided to Medicare eligible persons
which policies are not marketed or held to be
Medicare supplement policies or benefit plans.
Sec. 3. Subdivision (4) of subsection (l) of
section 38a-495a of the general statutes is
repealed and the following is substituted in lieu
thereof:
(4) The commissioner may adopt regulations,
in accordance with chapter 54, for captions or
notice requirements, determined to be in the
public interest and designed to inform the
prospective insured that particular insurance
coverages are not Medicare supplement coverages,
for all accident and sickness insurance policies
sold to persons eligible for Medicare, [by reason
of age,] other than: (A) Medicare supplement
policies; OR (B) disability income policies. [;
(C) basic, catastrophic or major medical expense
policies; or (D) single premium, nonrenewable
policies.]
Sec. 4. This act shall take effect from its
passage.
Approved May 14, 1997