Current Status Bill Number:1264 Type of Legislation:General Bill GB Introducing Body:Senate Introduced Date:19960320 Primary Sponsor:Hayes All Sponsors:Hayes Drafted Document Number:bbm\10693jm.96 Residing Body:Senate Current Committee:Banking and Insurance Committee 02 SBI Subject:Medicare supplement insurance
Body Date Action Description Com Leg Involved
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Senate 19960320 Introduced, read first time, 02 SBI
referred to Committee
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TO AMEND THE CODE OF LAWS OF SOUTH CAROLINA, 1976, BY ADDING SECTIONS 38-71-270 AND 38-71-275 SO AS TO PROHIBIT INSURERS TRANSACTING MEDICARE SUPPLEMENT INSURANCE FROM DENYING OR CONDITIONING THE ISSUANCE OR EFFECTIVENESS OF ANY MEDICARE SUPPLEMENT INSURANCE POLICY OR CERTIFICATE OF COVERAGE FOR CERTAIN STATED REASONS AND TO PROVIDE FOR RELATED MATTERS.
Be it enacted by the General Assembly of the State of South Carolina:
SECTION 1. The 1976 Code is amended by adding:
"Section 38-71-270. (A) No insurer transacting Medicare Supplement insurance within this State may deny or condition the issuance or effectiveness of any Medicare Supplement insurance policy or certificate of coverage, nor discriminate in the pricing of any such policy or certificate, because of the health status, the claims experience, or the receipt of health care services by, or the medical condition of, any applicant when the application for the policy or certificate is submitted before, or during, the six-month period beginning with the first day of the first month in which an individual is enrolled for benefits under Medicare Part B. Each Medicare Supplement insurance policy and certificate then available from any insurer must be made available to all applicants who qualify under this section without regard to age.
(B) Except as provided in Regulation 69-46 Section XXI, this section shall not be construed to prevent the exclusion of benefits under a policy during the first six months for a preexisting condition for which the policyholder or certificateholder received treatment or was otherwise diagnosed during the six months before the coverage became effective.
Section 38-71-275. (A) No insurer transacting Medicare Supplement insurance within this State may deny or condition the issuance or effectiveness of any Medicare Supplement insurance policy or certificate of coverage, nor discriminate in the pricing of any such policy or certificate, to any applicant under the age of sixty-five who enrolled for benefits under Medicare Part B before the effective date of this section, when the application for the Medicare Supplement policy or certificate is submitted during the six-month period beginning on the effective date of Section 38-71-270.
(B) Except as provided in Regulation 69-46 Section XXI, this section shall not be construed to prevent the exclusion of benefits under a policy during the first six months for a preexisting condition for which the policyholder or certificateholder received treatment or was otherwise diagnosed during the six months before the coverage became effective."
SECTION 2. This act takes effect ninety days after approval by the Governor.