This bill amends existing laws regarding Medicare Supplement Insurance Policies to enhance consumer protections. Key provisions include the establishment of standards for policy provisions, specifically allowing individuals under the age of sixty-five who are enrolled in Medicare supplement Plan A due to disability or end-stage renal disease to receive a six-month open enrollment period upon turning sixty-five, provided they remain enrolled in Medicare Parts A and B.
The bill introduces guaranteed issue rights for individuals under sixty-five who have been continuously covered by any Medicare supplement policy or Medicare Advantage plan with no gap in coverage greater than ninety days since their Medicare Initial Enrollment Period. It ensures that the issuance of any Medicare supplement policy is not conditioned on the medical or health status of the applicant and prohibits individual medical underwriting.
Additionally, the bill establishes a process for premium rate review, requiring issuers to bear the reasonable expenses of the commissioner related to rate filings, including costs for public comment periods and hearings. The office of the health insurance commissioner is tasked with evaluating the impact of adopting a community rating structure for Medicare supplement plans and must report its findings and recommendations to the General Assembly by January 1, 2026. Overall, the bill aims to improve access to Medicare supplement insurance and ensure fair treatment of applicants.