Chapter 11 NY Licensing: Medicare Supplement Insurance

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medicare policies must include

a renewal or continuation provision

high pressure tactic

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

preexisting condition

exclude coverage for conditions where medical advice or treatment was given or received from a physician 6 months before effective date of coverage

medicare supplement policies must be

guaranteed renewable

medicare supplement buyers guide

must be issued to all policy applicants at the time of application and acknowledgement of receipt must be obtained by the issuer

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 and person to lapse forfeit surrender terminate retain pledge assign borrow on or convert any insurance policy

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

acute care

medical care attending to an injury, illness or disease requiring immediate attention as opposed to chronic care

medi gap coverage

pays the deductibles and copayments by tracking with medicare coverage


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