Attorney General Opinions
Section 431:10A-601 applied to all parts of article 10A if the category of policy under consideration included family coverage, as defined in §431:10A-103. Att. Gen. Op. 97-10.
§431:10A-301 Definitions. For the purposes of this part:
"Applicant" means:
(1) In the case of an individual medicare supplement policy, the person who seeks to contract for insurance benefits, and
(2) In the case of a group medicare supplement policy, the proposed certificate holder.
"Certificate" means any certificate delivered or issued for delivery in this State under a group medicare supplement policy.
"Certificate form" means the form on which the certificate is delivered or issued for delivery by the issuer.
"Issuer" includes insurance companies, fraternal benefit societies, health care service plans, health maintenance organizations, and any other entity delivering or issuing for delivery in this State medicare supplement policies or certificates.
"Medicare" means the Health Insurance for the Aged Act, Title XVIII of the Social Security Amendments of 1965, as then constituted or later amended.
"Medicare supplement policy" means a group or individual policy of accident and health or sickness insurance or a subscriber contract of hospital and medical service associations or health maintenance organizations, other than a policy issued pursuant to a contract under section 1876 of the federal Social Security Act (42 U.S.C. section 1395 et seq.), or an issued policy under a demonstration project specified in 42 U.S.C. 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.
"Policy form" means the form on which the policy is delivered or issued for delivery by the issuer. [L 1987, c 347, pt of §2; am L 1989, c 195, §25; am L 1990, c 84, §1; am L 1992, c 195, §1; am L 1996, c 28, §1; am L 2003, c 212, §78]