Revises provisions relating to Medicare supplemental policies. (BDR 57-71)

S.B. 105

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SENATE BILL NO. 105–SENATOR BUCK

PREFILED JANUARY 21, 2025
____________

Referred to Committee on Commerce and Labor

SUMMARY—Revises provisions relating to Medicare
supplemental policies. (BDR 57-71)

FISCAL NOTE: Effect on Local Government: No.
Effect on the State: No.

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EXPLANATION – Matter in bolded italics is new; matter between brackets [omitted material] is material to be omitted.

AN ACT relating to insurance; requiring insurers to make available
to certain persons all Medicare supplemental p olicies sold
by the insurer that can be purchased by the person;
prohibiting an insurer from treating Medicare
supplemental policies that are classified as guaranteed
issue differently for certain purposes relating to the
payment of commissions; and providing other matters
properly relating thereto.
Legislative Counsel’s Digest:
Existing federal law establishes the Medicare program, which is a public health 1
insurance program for persons 65 years of age and older and specified persons with 2
disabilities who are under 65 years of age. (42 U.S.C. §§ 1395 et seq.) Under 3
existing federal regulations , a “Medicare supplemental policy” is a policy offered 4
by a private insurer that is primarily designed to pay expenses not reimbursed under 5
Medicare because of certain limitations under Medicare. (42 C.F.R. § 403.205) 6
Existing federal law classifies Medicare supplemental policies based on the 7
standardized package of benefits, which are prescribed by federal law, that each 8
policy offers . Existing federal law also requires the issuance of a Medicare 9
supplemental policy under certain circumstances, under which such a policy is 10
considered to be guaranteed issue, but does not require all of t he standardized 11
benefit plans to be made available for guaranteed issue, with certain exceptions. (42 12
U.S.C. § 1395ss) This bill require s insurers that offer Medicare supplemental 13
policies in this State to allow a person who is purchasing a Medicare supple mental 14
policy where guaranteed issue requirements apply to purchase any standardized 15
benefit plan that: (1) the insurer sells to new applicants in this State; and (2) the 16
insurer is authorized under federal law to sell to the person. 17
Under certain circums tances, existing law prohibits an insurer or other person 18
or entity from varying the commission associated with the purchase of certain 19
Medicare supplemental policies, paying differential commissions associated with 20

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the purchase of those Medicare supplemen tal policies or otherwise treating those 21
particular Medicare supplemental policies differently for the purposes of 22
commission. (NRS 687B.352) This bill applies this prohibition to the purchase of a 23
Medicare supplemental policy that is classified as guaranteed issue. 24

THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:

Section 1. Chapter 687B of NRS is hereby amended by adding 1
thereto a new section to read as follows: 2
1. An insurer that offers any Medicare supplemental policy 3
for delivery in this State shall allow a person who is eligible to 4
purchase a Medicare supplemental policy classified as guaranteed 5
issue under 42 U.S.C. § 1395ss or any other applicable federal or 6
state law or regulations to purchase any standardized benefit plan 7
offered by the insurer which is available for issuance to new 8
insureds. For purposes of this subsection only, a policy tha t is 9
issued solely pursuant to NRS 687B.352 is not classified as 10
guaranteed issue. 11
2. The provisions of s ubsection 1 must not be construed to 12
require an insurer to sell or issue any policy where prohibited by 13
federal law. 14
3. An insurer or other person or entity shall not vary the 15
commission associated with the purchase of a Medicare 16
supplemental policy, pay differential commissions associated with 17
the purchase of a Medicare supplemental policy or otherwise treat 18
a Medicare supplemental policy differentl y for the purposes of 19
commission because the policy is classified as guaranteed issue 20
under 42 U.S.C. § 1395ss or any other applicable federal or state 21
law or regulations. 22
4. As used in this section: 23
(a) “Medicare supplemental policy” has the meaning ascribed 24
to it in 42 C.F.R. § 403.205. 25
(b) “Standardized benefit plan”: 26
(1) Means a Medicare supplemental policy with a 27
particular package of benefits as required by federal law; and 28
(2) Includes, without limitation, a ny Medicare 29
supplemental policy designated as Standardized Benefit Plan A t o 30
N, inclusive, any high deductible version of any such plan and any 31
other standardized package of benefits for Medicare supplemental 32
policies that may be established by federal law. 33
Sec. 2. NRS 695B.320 is hereby amended to read as follows: 34
695B.320 1. Nonprofit hospital and medical or dental service 35
corporations are subject to the provisions of this chapter, and to the 36
provisions of chapters 679A and 679B of NRS, subsections 2, 4, 17, 37

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18 and 30 of NRS 680B.010, NRS 680B.025 to 680B.060, 1
inclusive, chapter 681B of NRS, NRS 686A.010 to 686A.315, 2
inclusive, 686B.010 to 686B.175, inclusive, 687B.010 to 3
687B.040, inclusive, 687B.070 to 687B.140, inclusive, 687B.150, 4
687B.160, 687B.180, 687B.200 to 687B.255, inclusive, 687B.270, 5
687B.310 to 687B.380, inclusive, and section 1 of this act, 6
687B.410, 687B.420, 687B.430, 687B.500 and chapters 692B, 7
692C, 693A and 696B of NRS, to the extent applicable and not in 8
conflict with the express provisions of this chapter. 9
2. For the purposes of this section and the provisions set forth 10
in subsection 1, a nonprofit hospital and medical or dental service 11
corporation is included in the meaning of the term “insurer.” 12
Sec. 3. 1. This section becomes effective upon passage and 13
approval. 14
2. Sections 1 and 2 of this act become effective: 15
(a) Upon passage and approval for the purpose of adopting any 16
regulations and pe rforming any other preparatory administrative 17
tasks that are necessary to carry out the provisions of this act; and 18
(b) On January 1, 2026, for all other purposes. 19

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