§ 376.854 — Definitions.

Missouri § 376.854

• Jurisdiction: Missouri
• Title XXIV: BUSINESS AND FINANCIAL INSTITUTIONS
• Ch. 376: Life, Health and Accident Insurance

Text

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.

Legislative History

(L. 1989 H.B. 615 & 563, A.L. 1992 H.B. 1574, A.L. 1996 S.B. 883) Effective 4-26-96