§ 27-18.2-1 - Definitions.
SECTION 27-18.2-1
§ 27-18.2-1 Definitions. – (a) "Applicant" means:
(1) In the case of an individual Medicare supplement policy,the person who seeks to contract for insurance benefits; and
(2) In the case of a group Medicare supplement policy, theproposed certificate holder.
(b) "Certificate" means, for the purposes of this chapter,any certificate delivered or issued for delivery in this state under a groupMedicare supplement policy.
(c) "Certificate form" means the form on which thecertificate is delivered or issued for delivery by the issuer.
(d) "Director" means the director of the department ofbusiness regulation.
(e) "Issuer" includes insurance companies, fraternal benefitsocieties, health care service plans, health maintenance organizations, and anyother entity delivering or issuing for delivery in this state Medicaresupplement policies or certificates.
(f) "Medicare" means the "Health Insurance for the Aged Act,"42 U.S.C. § 1395 et seq.
(g) "Medicare supplement policy" means a group or individualpolicy of accident and sickness insurance, as defined in § 27-18-1, or asubscriber contract of a nonprofit hospital service corporation or of anonprofit medical service corporation or an evidence of coverage of a healthmaintenance organization as defined in § 42-62-4(5) or as licensed underchapter 41 of this title, other than a policy issued pursuant to a contractunder Section 1876 of the Federal Social Security Act, 42 U.S.C. § 1395mm,or an issued policy under a demonstration project specified in 42 U.S.C. §1395ss(g)(1), which is advertised, marketed or designed primarily as asupplement to reimbursements under Medicare for the hospital, medical orsurgical expenses of persons eligible for Medicare.
(h) "Policy form" means the form on which the policy isdelivered or issued for delivery by the issuer.