California Insurance Code

§ 10192.81

INS § 10192.81 Effective Jan 1, 2011Div. 2 · Part 2 · Ch. 1 · Art. 6

Statute text

The following standards are applicable to all Medicare supplement policies or certificates delivered or issued for delivery in this state with an effective date on or after June 1, 2010. No policy or certificate may be advertised, solicited, delivered, or issued for delivery in this state as a Medicare supplement policy or certificate unless it complies with these benefit standards. No issuer may offer any 1990 standardized Medicare supplement benefit plan for sale with an effective date on or after June 1, 2010. Benefit standards applicable to Medicare supplement policies and certificates issued with an effective date prior to June 1, 2010, remain subject to the requirements of Section 10192.8.

(a)The following general standards apply to Medicare supplement policies and certificates and are in addition to all other requirements of this article:

(1)A Medicare supplement policy or certificate shall not exclude or limit benefits for losses incurred more than six months from the effective date of coverage because it involved a preexisting condition. The policy or certificate shall not define a preexisting condition more restrictively than a condition for which medical advice was given or treatment was recommended by or received from a physician within six months before the effective date of coverage.

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Legislative history

Amended by Stats. 2010, Ch. 328, Sec. 146. (SB 1330) Effective January 1, 2011.