§ 23-79-403 - Definitions.

23-79-403. Definitions.

As used in this subchapter:

(1) "Applicant" means:

(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" means any certificate delivered or issued for delivery in this state under a group medicare supplement policy;

(3) "Certificate form" means the form on which the certificate is delivered or issued for delivery by the issuer;

(4) "Commissioner" means the Insurance Commissioner;

(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" means 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" means a group or individual policy of accident and health insurance, a subscriber contract of a hospital and medical service corporation or health maintenance organization other than a policy issued pursuant to a contract under section 1876 or section 1833 of the Social Security Act, or an issued policy under a demonstration project authorized pursuant to amendments to the federal Social Security Act that 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; and

(8) "Policy form" means the form on which the policy is delivered or issued for delivery by the issuer.