376.854. Definitions.
275 words·~1 min read·
/mo/chapter-376/376-854A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
376.854. Definitions. — As used in sections 376.850 to 376.890 , the following terms mean:
(1)"Applicant" :
(a)In the case of an individual Medicare supplement policy, the person who seeks to contract for insurance benefits; and
(b)In the case of a group Medicare supplement policy, the proposed certificate holder;
(2)"Certificate" , any certificate delivered or issued for delivery in this state under a group Medicare supplement policy;
(3)"Certificate form" , the form on which the certificate is delivered or issued for delivery by the issuer;
(4)"Director" , the director of the department of commerce and insurance;
(5)"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;
(6)"Medicare" , the Health Insurance for the Aged Act, Title XVIII of the Social Security Amendments of 1965, as then constituted or later amended;
(7)"Medicare supplement policy" , a group or individual policy of insurance or a subscriber contract, 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;
(8)"Policy form" , the form on which the policy is delivered or issued for delivery by the issuer.
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(L. 1989 H.B. 615 & 563, A.L. 1992 H.B. 1574, A.L. 1996 S.B. 883)
Effective 4-26-96