et. seq.), or an issued policy under a demonstration

project specified in 42 U.S.C. section 1395ss(g)(1), which is advertised, marketed or designed primarily as a supplement to reimbursements under Medicare for the hospital, medical or surgical expenses of persons eligible for Medicare. "Medicare Supplement policy" does not include Medicare Advantage plans established under Medicare part C, outpatient Prescription Drug Plans established under Medicare part D, or any Health Care Prepayment plan (HCPP) that provides benefits pursuant to an agreement under Section 1833(a)(1)(A) of Social Security Act. M. "Pre-Standardized Medicare supplement benefit plan," "Pre- Standardized benefit plan" or "Pre-Standardized plan" means a group or individual policy of Medicare supplement insurance issued prior to July 30, 1992. N. "1990 Standardized Medicare supplement benefit plan," "1990 Standardized benefit plan" or "1990 plan" means a group or individual policy of Medicare supplement insurance issued on or after July 30, 1992 and prior to June 1, 2010 and includes Medicare supplement insurance policies and certificates renewed on or after that date which are not replaced by the issuer at the request of the insured. O. "2010 Standardized Medicare supplement benefit plan," "2010 Standardized benefit plan" or "2010 plan" means a group or individual policy of Medicare supplement insurance issued on or after June 1, 2010. P. "Policy Form" means the form on which the policy is delivered or issued for delivery by the issuer. 6 Q. "Secretary" means the Secretary of the United States Department of Health and Human Services.