403.232—Requirements and procedures for obtaining certification.
(b)
An insuring organization requesting certification of a policy must submit the following to CMS for review—
(1)
A copy of the policy form (including all the documents that would constitute the contract of insurance that is proposed to be marketed as a certified policy).
(5)
A copy of the Medicare supplement buyers' guide to be provided to all applicants if the buyers' guide is not the CMS/NAIC buyers' guide.
(6)
A statement of when and how the outline of coverage and the buyers' guide will be delivered and copies of applicable receipt forms.
(7)
A copy of the notice of replacement and statement as to when and how that notice will be delivered.
(8)
A list of States in which the policy is authorized for sale. If the policy was approved under a deemer provision in any State, the conditions involved must be specified.
(12)
A statement that the insuring organization will notify the policyholders in writing, within the period of time specified in § 403.245(c), if the policy is identified as a certified policy at the time of sale and later loses certification.
(13)
A signed statement in which the president of the insuring organization, or a designee, attests that—
(ii)
The information submitted to CMS for review is accurate and complete and does not misrepresent any material fact.