Subpart B. Subpart B—Medicare Supplemental Policies

• § 403.200 - Basis and scope.

• General Provisions

  • SECTION § 403.201 - State regulation of insurance policies.
  • SECTION § 403.205 - Medicare supplemental policy.
  • SECTION § 403.206 - General standards for Medicare supplemental policies.
  • SECTION § 403.210 - NAIC model standards.
  • SECTION § 403.215 - Loss ratio standards.

• State Regulatory Programs

  • SECTION § 403.220 - Supplemental Health Insurance Panel.
  • SECTION § 403.222 - State with an approved regulatory program.

• Voluntary Certification Program: General Provisions

  • SECTION § 403.231 - Emblem.
  • SECTION § 403.232 - Requirements and procedures for obtaining certification.
  • SECTION § 403.235 - Review and certification of policies.
  • SECTION § 403.239 - Submittal of material to retain certification.
  • SECTION § 403.245 - Loss of certification.
  • SECTION § 403.248 - Administrative review of CMS determinations.

• Voluntary Certification Program: Loss Ratio Provisions

  • SECTION § 403.250 - Loss ratio calculations: General provisions.
  • SECTION § 403.251 - Loss ratio date and time frame provisions.
  • SECTION § 403.253 - Calculation of benefits.
  • SECTION § 403.254 - Calculation of premiums.
  • SECTION § 403.256 - Loss ratio supporting data.
  • SECTION § 403.258 - Statement of actuarial opinion.