[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: 42CFR403.222]



[Page 39]

 

                         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. 403.222  State with an approved regulatory program.



    (a) A State has an approved regulatory program if the Panel 

determines that the State has in effect under State law a regulatory 

program that provides for the application of standards, with respect to 

each Medicare supplemental policy issued in that State, that are equal 

to or more stringent than those specified in section 1882 of the Social 

Security Act.

    (b) Policy issued in that State means--

    (1) A group policy, if the holder of the master policy resides in 

that State; and

    (2) An individual policy, if the policy is--

    (i) Issued in that State; or

    (ii) Issued for delivery in that State.

    (c) A policy issued in a State with an approved regulatory program 

is considered to meet the NAIC model standards in Sec. 403.210 and loss 

ratio standards in Sec. 403.215.



           Voluntary Certification Program: General Provisions