HAR §16-12-12.2
HAR §16-12-12.2. Standards for marketing
Cite as Haw. Code R. § 16-12-12.2
(a) An
issuer, directly or through its producers, shall:
(1)
Establish marketing procedures to assure
that any comparison of policies by its
agents or other producers will be fair and
accurate.
(2)
Establish marketing procedures to assure
excessive insurance is not sold or issued.
(3)
Display prominently by type, stamp, or other
appropriate means, on the first page of the
§16-12-12.2
12-89
outline of coverage and policy the
following:
“NOTICE TO BUYER: This policy may not cover
all of your medical expenses."
(4)
Inquire and otherwise make every reasonable
effort to identify whether a prospective
applicant or enrollee for Medicare
supplement insurance already has accident
and sickness insurance and the types and
amounts of that insurance.
(5)
Establish auditable procedures for verifying
compliance with this subsection.
(b)
In addition to the practices prohibited in
article 13 of chapter 431, HRS, the following acts and
practices are prohibited:
(1)
Twisting. Knowingly making any misleading
representation or incomplete or fraudulent
comparison of any insurance policies or
insurers for the purpose of inducing, or
tending to induce, any person to lapse,
forfeit, surrender, terminate, retain,
pledge, assign, borrow on, or convert any
insurance policy, or to take out a policy of
insurance with another issuer;
(2)
High pressure tactics. Employing any method
of marketing having the effect of or tending
to induce the purchase of insurance through
force, fright, threat, whether explicit or
implied, or undue pressure to purchase or
recommend the purchase of insurance; and
(3)
Cold lead advertising. Making use directly
or indirectly of any method of marketing
which fails to disclose in a conspicuous
manner that a purpose of the method of
marketing is solicitation of insurance and
that contact will be made by an insurance
agent or insurance company.
§16-12-12.2
12-90
(c)
The terms "Medicare supplement," "Medigap,"
"Medicare wrap-around" and words of similar import
shall not be used unless the policy is issued in
compliance with this chapter. [Eff and comp 12/27/90;
am and com 9/3/92; am and comp 7/6/99; comp 10/15/01;
comp 12/9/02; am and comp 10/8/05; comp 9/25/09; am
and comp 8/1/19] (Auth: HRS §§431:2-201,
431:10A-305, 431:10A-307) (Imp: HRS §§ 431:2-201,
431:10A-305, 431:10A-307, 431:13-103)
§16-12-12.4 Appropriateness of recommended
purchase and excessive insurance. (a) In
recommending the purchase or replacement of any
Medicare supplement policy or certificate an agent
shall make reasonable efforts to determine the
appropriateness of a recommended purchase or
replacement.
(b)
Any sale of a Medicare supplement policy or
certificate that will provide an individual more than
one Medicare supplement policy or certificate is
prohibited.
(c)
An issuer shall not issue a Medicare
supplement policy or certificate to an individual
enrolled in Medicare Part C unless the effective date
of the coverage is after the termination date of the
individual's Part C coverage. [Eff and comp 12/27/90;
am and comp 9/3/92; comp 7/6/99; comp 10/15/01; comp
12/9/02; am and comp 10/8/05; comp 9/25/09; am and
comp 8/1/19] (Auth: HRS §§431:2-201, 431:10A-305)
(Imp: HRS §§431:2-201, 431:10A-305)