[Code of Federal Regulations]

[Title 42, Volume 2]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR403.206]



[Page 38]

 

                         TITLE 42--PUBLIC HEALTH

 

                    CHAPTER IV--CENTERS FOR MEDICARE

                          & MEDICAID SERVICES,

                        DEPARTMENT OF HEALTH AND

                             HUMAN SERVICES

 

PART 403_SPECIAL PROGRAMS AND PROJECTS--Table of Contents

 

                Subpart B_Medicare Supplemental Policies

 

Sec. 403.206  General standards for Medicare supplemental policies.



    (a) For purposes of the voluntary certification program described in 

this subpart, a policy must meet--

    (1) The National Association of Insurance Commissioners (NAIC) model 

standards as defined in Sec. 405.210; and

    (2) The loss ratio standards specified in Sec. 403.215.

    (b) Except as specified in paragraph (c) of this section, the 

standards specified in paragraph (a) of this section must be met in a 

single policy.

    (c) In the case of a nonprofit hospital or a medical association 

where State law prohibits the inclusion of all benefits in a single 

policy, the standards specified in paragraph (a) of the section must be 

met in two or more policies issued in conjunction with one another.