R.C.S.A. § 38a-495a-4
Policy provisions
Cite as Conn. Agencies Regs. § 38a-495a-4
(a) Except for permitted preexisting condition clauses as described in section 38a-495a-5(a)
(1) of the Regulations of Connecticut State Agencies, no policy or certificate may
be advertised, solicited or issued for delivery in this state as a Medicare supplement
policy if such policy or certificate contains limitations or exclusions on coverage
that are more restrictive than those of Medicare.
(b) No Medicare supplement policy or certificate may use waivers to exclude, limit or
reduce coverage or benefits for specifically named or described preexisting diseases
or physical conditions.
(c) No Medicare supplement policy or certificate in force in the state shall contain benefits
which duplicate benefits provided by Medicare.
(d)
(1) Subject to sections 38a-495a-5(a) (4), 38a-495a-5(a) (5) and 38a-495a-5(a) (7) of
the Regulations of Connecticut State Agencies, a Medicare supplement policy with benefits
for outpatient prescription drugs in existence as of December 31, 2005 shall be renewed
for current policyholders who do not enroll in Medicare Part D at the option of the
policyholder.
(2) A Medicare supplement policy with benefits for outpatient prescription drugs shall
not be issued after December 31, 2005.
(3) After December 31, 2005, a Medicare Supplement policy with benefits for outpatient
prescription drugs may not be renewed after the policyholder enrolls in Medicare Part
D unless:
(A) The policy is modified to eliminate outpatient prescription coverage for expenses
of outpatient prescription drugs incurred after the effective date of the individual's
coverage under a Medicare Part D plan and;
(B) Premiums are adjusted to reflect the elimination of outpatient prescription drug coverage
at the time of Medicare Part D enrollment, accounting for any claims paid, if applicable.