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Summary:

A Medicare Select issuer shall have and use procedures for hearing complaints and resolving written appeals and grievances from the insureds. The issuer shall maintain records of each appeal or grievance for at least five years.

Summary:

A Medicare Select issuer shall comply with reasonable requests for data made by state or federal agencies, including the United States Department of Health and Human Services for the purpose of evaluating the Medicare Select program.

Summary:

An issuer shall not require, request, or obtain health information as part of the application process for an applicant who is eligible for guaranteed issuance of, or open enrollment for, any Medicare supplement coverage, except when the applicant is first enrolled in Medicare Part B. The application form shall include a clear and conspicuous statement that the applicant is not required to provide health information during a period where guaranteed issue or open enrollment applies, except when the applicant is first enrolled in Medicare Part B, and shall inform the applicant of those periods of guaranteed issuance of Medicare supplement coverage.

Summary:

An issuer of a Medicare supplement policy or certificate shall not request or require an individual or a family member of that individual to undergo a genetic test. However, an issuer of a Medicare supplement policy or certificate may obtain and use the results of a genetic test in making a determination regarding payment; in which case, the issuer may request only the minimum amount of information necessary to accomplish the intended purpose.

Summary:

An issuer of a Medicare supplement policy or certificate shall not request, require, seek, or purchase genetic information for underwriting purposes.

Summary:

An issuer of a Medicare supplement policy or certificate shall not request, require, seek, or purchase genetic information with respect to any individual or a family member of that individual prior to the individual's enrollment under the policy in connection with that enrollment.

Summary:

If an issuer of a Medicare supplement policy or certificate obtains genetic information incidental to the requesting, requiring, or purchasing of other information concerning any individual or his/her family member, the request, requirement, or purchase shall not be considered a violation of this statute if the request, requirement, or purchase of genetic information is not for underwriting purposes. However, the issuer shall not use any genetic information obtained under this section for any prohibited purpose.

Summary:

This provision states the purposes of Article 2.6 (Underwriting on the Basis of Test of Genetic Characteristics), which include requiring the maintenance of strict confidentiality of personal information obtained through a test of a person's genetic characteristics.

Summary:

All medical information solicited or obtained by any person soliciting or entering into a life settlement is subject to the Insurance Information and Privacy Protection Act concerning confidentiality of medical information.

Keywords:
non-health insurer
Summary:

With certain exceptions, a provider, broker, insurance company, insurance producer, information bureau, rating agency, or company, or any other person with actual knowledge of an insured's identity shall not disclose the identity of an insured or information that could be used to identify the insured or the insured's financial or medical information. Disclosure is permitted if it is: (1) necessary to effect a life settlement contract and there is prior written consent to the disclosure; (2) to effectuate the sale of life settlement contracts and the owner and the insured have both provided prior written consent to the disclosure; (3) for an investigation or examination by the commissioner or any other governmental officer or agency or any other provision of law; (4) for the transfer of a policy by one provider to another provider; (5) to allow the provider or broker or their authorized representatives to make contacts for the purpose of determining health status; (6) to purchase stop loss coverage.

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