- (a) Except for permitted preexisting condition clauses as described in sections 38a-495a-4a(a)(1), 38a-495a-5(a)(1), and 38a-495a-5a(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.
(Effective July 30, 1992; Amended December 1, 2005; Amended November 30, 2009; Amended April 4, 2019)