WILLIAM DONALD SCHAEFER, Governor Ch. 474
(2) "Medicare" means the [health insurance for the
aged program under] "HEALTH INSURANCE FOR THE AGED ACT", Title
XVIII of the Social Security Act AS AMENDED.
(3) "Medicare benefit period" means . the unit of time
used in the Medicare program to measure use of services and
availability of benefits under Medicare Part A.
(4) "Medicare eligible expenses" means health care
expenses of the kinds covered by Medicare to the extent these
services are considered reasonable under Medicare rules and
regulations.
(5) "Medicare supplement policy" or "Medigap policy"
means a GROUP OR INDIVIDUAL policy of health insurance OR A
SUBSCRIBER CONTRACT WHICH IS ADVERTISED, MARKETED, OR [primarily]
designed [to] PRIMARILY AS A supplement TO REIMBURSEMENTS UNDER
Medicare[, or advertised, marketed, or otherwise purported to be
a supplement to Medicare coverage]. THIS TERM DOES NOT INCLUDE
BENEFITS OFFERED BY A HEALTH MAINTENANCE ORGANIZATION OR OTHER
DIRECT SERVICE ORGANIZATION IN CONNECTION WITH A CONTRACT WITH
THE U.S. HEALTH CARE FINANCING ADMINISTRATION.
(6) "APPLICANT" MEANS:
(I) IN THE CASE OF AN INDIVIDUAL MEDICARE
SUPPLEMENT POLICY OR SUBSCRIBER CONTRACT, THE PERSON WHO SEEKS TO
CONTRACT FOR INSURANCE BENEFITS; OR
(II) IN THE CASE OF A GROUP MEDICARE SUPPLEMENT
POLICY OR SUBSCRIBER CONTRACT, THE PROPOSED CERTIFICATE HOLDER.
(7) "CERTIFICATE" MEANS A CERTIFICATE ISSUED UNDER A
GROUP MEDICARE SUPPLEMENT POLICY, WHICH CERTIFICATE HAS BEEN
DELIVERED OR ISSUED FOR DELIVERY IN THE STATE.
(8) "HCFA" MEANS THE HEALTH CARE FINANCING
ADMINISTRATION OF THE UNITED STATES DEPARTMENT OF HEALTH AND
HUMAN SERVICES.
(9) "INSURER" MEANS AN INSURER AUTHORIZED TO ISSUE
HEALTH INSURANCE COVERAGE UNDER THIS ARTICLE, INCLUDING NONPROFIT
HEALTH SERVICE PLANS.
(10) "STATE MEDICARE ACT" OR "ACT" MEANS §§ 468B
THROUGH 468H OF THIS SUBTITLE, UNLESS THE CONTEXT REQUIRES
OTHERWISE.
468C.
(a) (1) Unless it complies with the requirements of [this
section] THE STATE MEDICARE ACT, a Medicare supplement policy may
not be issued, delivered, or renewed in this State by an insurer.
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