GroundRules
42 CFR 403.206: General standards for Medicare supplemental policies.
Where this section sits in the code
- Title 42—Public Health
- CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
- SUBCHAPTER A—GENERAL PROVISIONS
- PART 403—SPECIAL PROGRAMS AND PROJECTS
- Subpart B—Medicare Supplemental Policies
(a) For purposes of the voluntary certification program described in this subpart, a policy must meet—
(1) The National Association of Insurance Commissioners (NAIC) model standards as defined in § 405.210; and
(2) The loss ratio standards specified in § 403.215.
(b) Except as specified in paragraph (c) of this section, the standards specified in paragraph (a) of this section must be met in a single policy.
(c) In the case of a nonprofit hospital or a medical association where State law prohibits the inclusion of all benefits in a single policy, the standards specified in paragraph (a) of the section must be met in two or more policies issued in conjunction with one another.
Collected 2026-08-27T02:26:11Z. Source file · JSON