PART2008. MINIMUM STANDARDS FOR INDIVIDUAL AND GROUP MEDICARE SUPPLEMENT INSURANCE  


SUBPART A. GENERAL PROVISIONS
§ 2008.10. Authority
§ 2008.20. Purpose
§ 2008.30. Applicability and Scope
§ 2008.35. Effective Date [Repealed]
§ 2008.40. Definitions
SUBPART B. COVERAGE, POLICY & BENEFIT PROVISIONS
§ 2008.45. Creditable coverage
§ 2008.50. Policy Definitions and Terms
§ 2008.60. Policy Provisions
§ 2008.61. Benefit Conversion Requirements During Transition [Repealed]
§ 2008.63. Standard Medicare Supplement Benefit Plans for 2020 Standardized Medicare Supplement Benefit Plan Policies or Certificates Issued for Delivery to Individuals Newly Eligible for Medicare on or after January 1, 2020
§ 2008.64. Benefit Standards for 2010 Standardized Medicare Supplement Benefit Plan Policies or Certificates Issued for Delivery with an Effective Date for Coverage on or after June 1, 2010
§ 2008.67. Standard Medicare Supplement Benefit Plans for 2010 Standardized Medicare Supplement Benefit Plan Policies or Certificates Issued for Delivery with an Effective Date for Coverage on or after June 1, 2010
§ 2008.70. Minimum Benefit Standards for Pre-Standardized Medicare Supplement Benefit Plan Policies or Certificates Issued for Delivery Prior to February 11, 1992
§ 2008.71. Benefit Standards for 1990 Standardized Medicare Supplement Benefit Plan Policies or Certificates Issued for Delivery after February 11, 1992 and Prior to June 1, 2010
§ 2008.72. Standard Medicare Supplement Benefit Plans for 1990 Standardized Medicare Supplement Benefit Plan Policies or Certificates Issued for Delivery on or after February 11, 1992 and Prior to June 1, 2010
§ 2008.73. Medicare Select Policies and Certificates
SUBPART C. ENROLLMENT & ELIGIBILITY
§ 2008.74. Open Enrollment
§ 2008.75. Guaranteed Issue for Eligible Persons
SUBPART D. CLAIMS, REFUNDS & CREDITS
§ 2008.76. Standards for Claims Payment
§ 2008.80. Loss Ratio Standards and Refund or Credit of Premium
SUBPART E. RATES, COMPENSATION AGREEMENT, DISCLOSURE, REPLACEMENT & MARKETING
§ 2008.81. Filing and Approval of Policies and Certificates and Premium Rates
§ 2008.82. Permitted Compensation Arrangements
§ 2008.90. Required Disclosure Provisions
§ 2008.91. Instructions for Use of the Disclosure Statements for Health Insurance Policies Sold to Medicare Beneficiaries that Duplicate Medicare
§ 2008.100. Requirements for Application Forms and Replacement Coverage
§ 2008.101. Standards for Marketing
§ 2008.102. Appropriateness of Recommended Purchase and Excessive Insurance
SUBPART F. REPORTING & PROHIBITIONS
§ 2008.103. Reporting of Multiple Policies
§ 2008.104. Prohibition Against Preexisting Conditions, Waiting Periods, Elimination Periods and Probationary Periods in Replacement Policies or Certificates
§ 2008.107. Prohibition Against Use of Genetic Information and Requests for Genetic Testing
SUBPART G. MISCELLANEOUS PROVISIONS
§ 2008.110. Severability
§ 2008.120. Effective Date [Repealed]
§ 2008.APPENDIX A. Policy Checklist
§ 2008.APPENDIX B. Outline of Medicare Supplement Coverage – Cover Page for Medicare Supplement Plans Sold Prior to June 1, 2010
§ 2008.APPENDIX C. Plan A (for plans issued prior to June 1, 2010)
§ 2008.APPENDIX D. Plan B (for plans issued prior to June 1, 2010)
§ 2008.APPENDIX E. Plan C (for plans issued prior to June 1, 2010)
§ 2008.APPENDIX F. Plan D (for plans issued prior to June 1, 2010)
§ 2008.APPENDIX G. Plan E (not available after May 31, 2010)
§ 2008.APPENDIX H. Plan F or High Deductible Plan F (for plans issued prior to June 1, 2010)
§ 2008.APPENDIX I. Plan G (for plans issued prior to June 1, 2010)
§ 2008.APPENDIX J. Plan H (not available after May 31, 2010)
§ 2008.APPENDIX K. Plan I (not available after May 31, 2010)
§ 2008.APPENDIX L. Plan J or High Deductible Plan J (not available after May 31, 2010)
§ 2008.APPENDIX M. Plan K (for plans issued prior to June 1, 2010)
§ 2008.APPENDIX N. Plan L (for plans issued prior to June 1, 2010)
§ 2008.APPENDIX O. NOTICE OF MEDICARE CHANGES [Renumbered]
§ 2008.APPENDIX P. MEDICARE SUPPLEMENT POLICIES REPORT [Renumbered]
§ 2008.APPENDIX Q. Disclosure Statements [Renumbered]
§ 2008.APPENDIX R. Notice to Applicant Regarding Replacement of Medicare Supplement Insurance or Medicare Advantage
§ 2008.APPENDIX S. Medicare Supplement Refund Calculation Format
§ 2008.APPENDIX T. Notice of Medicare Changes
§ 2008.APPENDIX U. Medicare Supplement Policies Report
§ 2008.APPENDIX V. Disclosure Statements
§ 2008.APPENDIX W. Outline of Medicare Supplement Coverage – Cover Page for Medicare Supplement Plans Sold on or after June 1, 2010
SOURCE: Adopted at 6 Ill. Reg. 7115, effective June 1, 1982 and January 1, 1983; codified at 7 Ill. Reg. 3474; emergency amendment at 13 Ill. Reg. 586, effective January 1, 1989, for a maximum of 150 days; amended at 13 Ill. Reg. 8520, effective May 23, 1989; amended at 14 Ill. Reg. 19243, effective November 27, 1990; amended at 16 Ill. Reg. 2766, effective February 11, 1992; corrected at 16 Ill. Reg. 3590; amended at 16 Ill. Reg. 15452, effective September 29, 1992; emergency amendment at 16 Ill. Reg. 19226, effective December 1, 1992, for a maximum of 150 days; emergency expired April 29, 1993; amended at 17 Ill. Reg. 11469, effective July 9, 1993; amended at 20 Ill. Reg. 6393, effective April 28, 1996; amended at 23 Ill. Reg. 3704, effective March 10, 1999; amended at 23 Ill. Reg. 14700, effective January 1, 2000; amended at 24 Ill. Reg. 19151, effective January 1, 2001; amended at 25 Ill. Reg. 7886, effective June 18, 2001; amended at 26 Ill. Reg. 5130, effective March 25, 2002; transferred from the Department of Insurance to the Department of Financial and Professional Regulation pursuant to Executive Order 2004-6 on July 1, 2004; amended at 29 Ill. Reg. 14188, effective September 8, 2005; amended at 33 Ill. Reg. 8904, effective June 10, 2009; recodified from the Department of Financial and Professional Regulation to the Department of Insurance pursuant to Executive Order 2009-04 at 39 Ill. Reg. 8346; amended at 42 Ill. Reg. 21625, effective November 26, 2018; amended at 47 Ill. Reg. 5701, effective April 4, 2023; amended at 47 Ill. Reg. 16454, effective November 1, 2023.

Notation

AUTHORITY: Implementing Sections 363 and 363a and authorized by Section 401 of the Illinois Insurance Code [215 ILCS 5].