<?xml version='1.0' encoding='utf-8'?>
<section article="gin" article_name="Insurance" number="15-901" title_number="15" title_name="Health Insurance" subtitle_number="9" subtitle_name="Medicare Supplement Act">
  <level label="a">
    <text>In this subtitle the following words have the meanings indicated.</text>
  </level>
  <level label="b">
    <text>“Applicant” means:</text>
    <level label="1">
      <text>for an individual Medicare supplement policy or subscriber contract, the individual who seeks to contract for insurance benefits; or</text>
    </level>
    <level label="2">
      <text>for a group Medicare supplement policy or subscriber contract, the proposed certificate holder.</text>
    </level>
  </level>
  <level label="c">
    <text>“Carrier” means an insurer, nonprofit health service plan, or fraternal benefit society that is authorized to issue health insurance policies under this article.</text>
  </level>
  <level label="d">
    <text>“Certificate” means a certificate that is delivered or issued for delivery in the State under a group Medicare supplement policy.</text>
  </level>
  <level label="e">
    <text>“Certificate form” means the form on which the certificate is delivered or issued for delivery in the State by the carrier.</text>
  </level>
  <level label="f">
    <text>“CMS” means the Centers for Medicare and Medicaid Services of the United States Department of Health and Human Services.</text>
  </level>
  <level label="g">
    <text>“Medicaid” means the Health Insurance for the Aged Act, Title XIX of the Social Security Amendments of 1965, as amended.</text>
  </level>
  <level label="h">
    <text>“Medicare” means the Health Insurance for the Aged Act, Title XVIII of the Social Security Amendments of 1965, as amended.</text>
  </level>
  <level label="i">
    <text>“Medicare benefit period” means the unit of time used in the Medicare Program to measure use of services and availability of benefits under Medicare Part A.</text>
  </level>
  <level label="j">
    <text>“Medicare eligible expense” means a health care expense of the kind covered by Medicare to the extent the service for which the expense was incurred is considered reasonable under Medicare rules and regulations.</text>
  </level>
  <level label="k">
    <level label="1">
      <text>“Medicare supplement policy” or “Medigap policy” means an individual or group policy of health insurance or subscriber contract that is advertised, marketed, or designed primarily as a supplement to reimbursements under Medicare for the hospital, medical, or surgical expenses of individuals eligible for Medicare.</text>
    </level>
    <level label="2">
      <text>“Medicare supplement policy” or “Medigap policy” does not include:</text>
      <level label="i">
        <text>a policy that is issued pursuant to a contract under § 1876 of the federal Social Security Act, 42 U.S.C. § 1395mm; or</text>
      </level>
      <level label="ii">
        <text>a policy that is issued under a demonstration project authorized pursuant to amendments to the federal Social Security Act.</text>
      </level>
    </level>
  </level>
  <level label="l">
    <text>“Policy” includes:</text>
    <level label="1">
      <text>a policy that is issued to an individual;</text>
    </level>
    <level label="2">
      <text>a certificate, as that term is used in Title 14, Subtitle 1 of this article, that is issued to an individual subscriber;</text>
    </level>
    <level label="3">
      <text>a certificate, as that term is used in Title 8, Subtitle 4 of this article, that is issued to a member of a fraternal benefit society; and</text>
    </level>
    <level label="4">
      <text>a group policy authorized to be issued under this article.</text>
    </level>
  </level>
  <level label="m">
    <text>“Policy form” means the form on which the policy is delivered or issued for delivery in the State by the carrier.</text>
  </level>
</section>
