§ 26.1-36.1-01 — Medicare supplement policies - Definitions

North Dakota § 26.1-36.1-01

• Jurisdiction: North Dakota
• Title 26.1: Insurance
• Ch. 26.1-36.1: Medicare Supplement Policies

Text

For purposes of this chapter:
1. "Applicant" means:
a. In the case of an individual Medicare supplement policy or subscriber contract,
the person who seeks to contract for insurance benefits.
b. In the case of a group Medicare supplement policy or subscriber contract, the
proposed certificate holder.
2. "Certificate" means any certificate issued under a group Medicare supplement policy
which has been delivered or issued for delivery in this state.
3. "Medicare" means the Health Insurance for the Aged and Disabled Act, title XVIII of
the Social Security Act of 1965 [Pub. L. 92-603; 86 Stat. 1370 et seq.], as amended.
4. "Medicare supplement policy" means a group or individual accident and health
insurance policy or a subscriber contract of a health service corporation or a health
care plan of a health maintenance organization or preferred provider organization,
other than a policy issued pursuant to a contract under section 1876 of the federal
Social Security Act [42 U.S.C. 1395 et seq.] 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 a supplement to reimbursements under Medicare for the hospital, medical,
or surgical expenses of persons eligible for Medicare. The term does not include a
policy or contract of one or more employers or labor organizations, or of the trustees of
a fund established by one or more employers or labor organizations, or combination
thereof, for employees or former employees, or combination thereof, or for members
or former members, or combination thereof, of the labor organizations.