[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: 42CFR403.245]



[Page 40-41]

 

                         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. 403.245  Loss of certification.



    (a) A policy loses certification if--

    (1) The insuring organization withdraws the policy from the 

voluntary certification program; or

    (2) CMS determines that--

    (i) The policy fails to meet the requirements specified in Sec. 

403.232(a); or

    (ii) The insuring organization has failed to meet the requirements 

for submittal of material specified in Sec. 403.239.



[[Page 41]]



    (b) If a policy loses its certification, CMS will inform all State 

Commissioners and Superintendents of Insurance of that fact.

    (c) If a policy that displays the emblem, or that has been marketed 

as a certified policy without the emblem, loses certification, the 

insuring organization must notify each holder of the policy, or of a 

certificate issued under the policy, of that fact. The notice must be in 

writing and sent by the earlier of--

    (1) The date of the first regular premium notice after the date the 

policy loses its certification; or

    (2) 60 days after the date the policy loses its certification.