Print Friendly HOUSE BILL NO. 434
– Medicare supp’l plans, availability
HOUSE BILL NO. 434
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MEDICARE SUPPLEMENTAL PLANS - Amends existing law relating to Medicare
supplemental insurance minimum standards; to revise definitions; and to
require certain Medicare supplemental plans be available to all eligible
individuals during certain periods.
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]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]]
Fifty-ninth Legislature Second Regular Session - 2008
IN THE HOUSE OF REPRESENTATIVES
HOUSE BILL NO. 434
BY BUSINESS COMMITTEE
1 AN ACT
2 RELATING TO MEDICARE SUPPLEMENT INSURANCE MINIMUM STANDARDS; AMENDING SECTION
3 41-4402, IDAHO CODE, TO REVISE A DEFINITION, TO DEFINE A TERM, TO REQUIRE
4 THAT CERTAIN MEDICARE SUPPLEMENT PLANS BE AVAILABLE TO ALL ELIGIBLE INDI-
5 VIDUALS DURING CERTAIN PERIODS AND TO MAKE TECHNICAL CORRECTIONS.
6 Be It Enacted by the Legislature of the State of Idaho:
7 SECTION 1. That Section 41-4402, Idaho Code, be, and the same is hereby
8 amended to read as follows:
9 41-4402. DEFINITIONS. In this chapter:
10 (1) "Applicant" means:
11 (a) In the case of an individual medicare supplement policy, the person
12 who seeks to contract for insurance benefits; and
13 (b) In the case of a group medicare supplement policy, the proposed cer-
14 tificate holder.
15 (2) "Certificate" means, for the purposes of this chapter, any certifi-
16 cate delivered or issued for delivery in this state under a group medicare
17 supplement policy.
18 (3) "Certificate form" means the form on which the certificate is deliv-
19 ered or issued for delivery by the issuer.
20 (4) "Issuer" includes insurance companies, fraternal benefit societies,
21 managed care organizations, and any other entity delivering or issuing for
22 delivery in this state medicare supplement policies or certificates.
23 (5) "Medicare" means the "Health Insurance for the Aged Act," title XVIII
24 of the social security amendments of 1965, as then constituted or later
26 (6) "Medicare supplement policy" means a group or individual policy of
27 accident and sickness insurance or an enrollee contract under a managed care
28 organization, other than a policy issued pursuant to a contract under section
29 1876 of the federal social security act, (42 U.S.C. section 1395 et seq. ), or
30 an issued policy under a demonstration project specified in 42 U.S.C. section
31 1395ss(g)(1), which is advertised, marketed or designed primarily as a supple-
32 ment to reimbursements under medicare for the hospital, medical or surgical
33 expenses of persons eligible for medicare open enrollment by reason of dis-
34 ability or age.
35 (7) "Open enrollment period" means the six (6) month period beginning
36 when an individual of any age first enrolls for benefits under medicare part B
37 and the six (6) month period beginning on the sixty-fifth birthday of an indi-
38 vidual. All such medicare supplement plans shall be made available to all eli-
39 gible individuals during the six (6) month open enrollment period beginning
40 with the first day of the first month during which the applicant becomes
41 enrolled or benefits under medicare part B.
42 (8) "Policy form" means the form on which the policy is delivered or
43 issued for delivery by the issuer.
STATEMENT OF PURPOSE
The intent of this legislation is to make certain Medicare
supplement plans available to eligible individuals during a six-
month period of open enrollment. Open enrollment will be defined
as the six-month period beginning when an individual of any age
enrolls for benefits under Medicare Part B and the six-month time
period after an individual's sixty-fifth birthday.
There is no fiscal impact to the state General Fund.
Name: Rep. Elaine Smith
Rep. Max Black
STATEMENT OF PURPOSE/FISCAL NOTE H 434