[Code of Federal Regulations] [Title 42, Volume 2] [Revised as of October 1, 2002] From the U.S. Government Printing Office via GPO Access [CITE: 42CFR403.205] [Page 37] TITLE 42--PUBLIC HEALTH HUMAN SERVICES PART 403--SPECIAL PROGRAMS AND PROJECTS--Table of Contents Subpart B--Medicare Supplemental Policies Sec. 403.205 Medicare supplemental policy. (a) Except as specified in paragraph (d) of this section, Medicare supplemental policy (policy) means a health insurance policy or other health benefit plan-- (1) That a private entity offers to a Medicare beneficiary; and (2) That is primarily designed, or is advertised, marketed, or otherwise purported to provide payment for expenses incurred for services and items that are not reimbursed under the Medicare program because of deductibles, coinsurance, or other limitations under Medicare. (b) Unless otherwise specified in this subpart, the term policy includes both policy form and policy. (1) Policy form means the form of health insurance contract that is approved by and on file with the State agency for the regulation of insurance. (2) Policy means the contract-- (i) Issued under the policy form; and (ii) Held by the policyholder. (c) Medicare supplemental policy includes the following-- (1) An individual policy. (2) A group policy. (d) Medicare supplemental policy does not include a Medicare+Choice plan or any of the following health insurance policies or health benefit plans: (1) A policy or plan of one or more employers for employees, former employees, or any combination thereof. (2) A policy or plan of one or more labor organizations for members, former members, or any combination thereof. (3) A policy or plan of the trustees of a fund established by one or more labor organizations, one or more employers, or any combination, for any one or combination of the following-- (i) Employees. (ii) Former employees. (iii) Members. (iv) Former members. (4) A policy or plan of a profession, trade, or occupational association, if the association-- (i) Is composed of individuals all of whom are actively engaged in the same profession, trade, or occupation; (ii) Has been maintained in good faith for a purpose other than obtaining insurance; and (iii) Has been in existence for at least two years before the date of its initial offering of a Medicare supplemental health insurance policy to its members. (5) For purposes of the voluntary certification program, a policy issued to an employee or to a member of a labor organization as an addition to a franchise plan (a plan that enables members of the same entity to purchase an individual policy marketed to them under group underwriting procedures), if the plan is in existence on July 1, 1982. [47 FR 32400, July 26, 1982, as amended at 63 FR 35066, June 26, 1998]