62A.43 LIMITATIONS ON SALES.
Subdivision 1. Duplicate coverage prohibited.
No agent shall sell a Medicare supplement
plan, as defined in section
, to a person who currently has one plan in effect; however,
an agent may sell a replacement plan in accordance with section
, provided that the second
plan is not made effective any sooner than necessary to provide continuous benefits for preexisting
conditions. Every application for Medicare supplement insurance shall require a written statement
signed by the applicant listing all health and accident insurance maintained by the applicant as
of the date the application is taken and stating whether the applicant is entitled to any medical
assistance. The written statement must be accompanied by a written acknowledgment, signed by
the seller of the policy, of the request for and receipt of the statement.
Subd. 2. Refunds.
Notwithstanding the provisions of section
, an insurer which issues
a Medicare supplement plan to any person who has one plan then in effect, except as permitted in
subdivision 1, shall, at the request of the insured, either refund the premiums or pay any claims on
the policy, whichever is greater. Any refund of premium pursuant to this section or section
shall be sent by the insurer directly to the insured within 15 days of the request by the insured.
Subd. 3. Action by commissioner.
If the commissioner determines after an investigation
that an insurer has issued a Medicare supplement plan to a person who already has one plan,
except as permitted in subdivision 1, the commissioner shall notify the insurer in writing of the
determination. If the insurer thereafter fails to take reasonable action to prevent overselling,
the commissioner may, in the manner prescribed in chapter 14, revoke or suspend the insurer's
authority to sell accident and health insurance in this state or impose a civil penalty not to exceed
$10,000, or both.
Subd. 4. Other policies not prohibited.
The prohibition in this section or the requirements
62A.31, subdivision 1
, against the sale of duplicate Medicare supplement coverage
do not preclude the sale of a health insurance policy or certificate if it will pay benefits without
regard to other health coverage and if prospective purchasers are provided, on or together with
the application for the policy or certificate, the appropriate disclosure statement for health
insurance policies sold to Medicare beneficiaries that duplicate Medicare as prescribed by
the National Association of Insurance Commissioners. Notwithstanding this provision, if the
commissioner determines that the coverage being sold is in fact Medicare supplement insurance,
the commissioner shall notify the insurer in writing of the determination. If the insurer does not
thereafter comply with sections
, the commissioner may, pursuant to chapter
14, revoke or suspend the insurer's authority to sell accident and health insurance in this state or
impose a civil penalty not to exceed $10,000, or both.
History: 1983 c 263 s 13; 1986 c 444; 1987 c 337 s 56,57; 1991 c 129 s 4; 1994 c 485 s 31;
1999 c 90 s 4; 2005 c 17 art 1 s 14