(a) “Applicant” means:
- (1) In the case of an individual Medicare supplement policy, the person who seeks to contract for insurance benefits; and
- (2) In the case of a group Medicare supplement policy, the proposed certificate holder.
- (b) “Certificate” means, for the purposes of this chapter, any certificate delivered or issued for delivery in this State under a group Medicare supplement policy.
- (c) “Certificate form” means the form on which the certificate is delivered or issued for delivery by the issuer.
- (d) “Issuer” includes insurance companies, fraternal benefit societies, health-care service plans, health maintenance organizations and any other entity delivering or issuing for delivery in this State Medicare supplement policies or certificates.
- (e) “Medicare” means the “Health Insurance for the Aged Act,” Title XVIII of the Social Security Amendments of 1965 [42 U.S.C. § 1395 et seq.], as then constituted or later amended.
(f) “Medicare Advantage plan” means a plan of coverage for health benefits under Medicare Part C as defined in 42 U.S.C. § 1395w-28(b)(1), and includes all of the following:
- (1) Coordinated care plans that provide health-care services, including health maintenance organization plans, with or without a point-of-service option, plans offered by provider-sponsored organizations, and preferred provider organization plans.
- (2) Medical savings account plans coupled with a contribution into a Medicare Advantage plan medical savings account.
- (3) Medicare Advantage private fee-for-service plans.
- (g) “Medicare supplement policy” means a group or individual policy of accident and sickness insurance or a subscriber contract of hospital and medical service associations or health maintenance organizations, other than a policy issued pursuant to a contract under § 1876 of the Federal Social Security Act (42 U.S.C. § 1395mm), or an issued policy under a demonstration project specified in the 42 U.S.C. § 1395(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.
- (h) “Policy form” means the form on which the policy is delivered or issued for delivery by the issuer.
63 Del. Laws, c. 262, § 2; 67 Del. Laws, c. 45, § 1; 68 Del. Laws, c. 237, § 1; 70 Del. Laws, c. 156, § 1; 85 Del. Laws, c. 202, § 1