Delaware § 3401 Definitions

Delaware Statutes

§ 3401 — Definitions

Delaware § 3401

Title18

PartInsurance

Ch. 34MEDICARE SUPPLEMENT INSURANCE MINIMUM STANDARDS

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Bluebook

Del. Code tit. 18, § 3401 (2026).

Text

(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, the proposed certificate holder.

(b)“Certificate” means, for the purposes of this chapter, any certificate delivered or issued for delivery in this State under a group Medicare supplement policy.

(c)“Certificate form” means the form on which the certificate is delivered or issued for delivery by the issuer.

(d)“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.

(e)“Medicare” means the “Health In

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(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, the proposed certificate holder.

(b) “Certificate” means, for the purposes of this chapter, any certificate delivered or issued for delivery in this State under a group Medicare supplement policy.

(c) “Certificate form” means the form on which the certificate is delivered or issued for delivery by the issuer.

(d) “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.

(e) “Medicare” means the “Health Insurance for the Aged Act,” Title XVIII of the Social Security Amendments of 1965 [42 U.S.C. § 1395 et seq.], as then constituted or later amended.

(f) “Medicare Advantage plan” means a plan of coverage for health benefits under Medicare Part C as defined in 42 U.S.C. § 1395w-28(b)(1), and includes all of the following:

(1) Coordinated care plans that provide health-care services, including health maintenance organization plans, with or without a point-of-service option, plans offered by provider-sponsored organizations, and preferred provider organization plans.

(2) Medical savings account plans coupled with a contribution into a Medicare Advantage plan medical savings account.

(3) Medicare Advantage private fee-for-service plans.

(g) “Medicare supplement policy” means a group or individual policy of accident and sickness insurance or a subscriber contract of hospital and medical service associations or health maintenance organizations, other than a policy issued pursuant to a contract under § 1876 of the Federal Social Security Act (42 U.S.C. § 1395mm), or an issued policy under a demonstration project specified in the 42 U.S.C. § 1395(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.

(h) “Policy form” means the form on which the policy is delivered or issued for delivery by the issuer.