Title 33, Title 33

An individual application shall not be required from a person covered under a blanket disability policy or contract, nor shall it be necessary for the insurer to furnish each person a certificate.

(1) (a) Subject to subsection (1)(b), all benefits under a blanket disability policy must be payable to: (i) the person insured or to the person's designated beneficiary or beneficiaries or to the person's estate, except that if the person insured is a minor or is mentally incomp…

(1) This part may be cited as the "Montana Mental Health Parity Act". (2) The purpose of this part is to ensure that Montana law applies the same level of parity between mental health and physical health benefits as existed in federal law on January 1, 2017. (3) The provisions of…

For purposes of this part, the following definitions apply: (1) "Inpatient benefits" are as set forth in 33-22-705. (2) "Mental health benefits" means benefits with respect to items or services for mental health conditions, as defined under the terms of the plan or health insuran…

(1) A health insurance issuer that issues, modifies, or renews individual or group health insurance coverage or a group health plan shall provide for the necessary care and treatment of mental illness, severe mental illness, and substance use disorders at a level of benefits that…

(1) (a) Inpatient benefits are benefits payable for charges made by: (i) a hospital or freestanding inpatient facility for the necessary care and treatment of mental illness, severe mental illness, or substance use disorder furnished to a covered person while confined as an inpat…

A health insurance issuer that issues, modifies, or renews individual or group health insurance coverage that provides mental health or substance use disorder benefits shall submit a report to the commissioner on or before April 1 of the year following the effective date of this …

The commissioner may adopt rules to implement the provisions of this part.

This part may be cited as the "Medicare Supplement Insurance Minimum Standards Act".

The purpose of this part is to establish minimum standards for medicare supplement policies and certificates and to establish a regulatory program that meets the requirements of 42 U.S.C. 1395ss(p)(1)(A).

As used in this part, the following definitions apply: (1) "Applicant" means: (a) in the case of an individual medicare supplement policy, the person who seeks to contract for insurance benefits; and (b) in the case of a group medicare supplement policy, the proposed certificate …

(1) A medicare supplement policy or certificate in force in this state may not contain benefits that duplicate benefits provided by medicare. (2) The commissioner shall adopt reasonable rules to establish specific standards for policy provisions of medicare supplement policies an…

The commissioner shall adopt reasonable rules to establish minimum standards for benefits, payment of claims, marketing practices, compensation arrangements, and reporting practices for medicare supplement policies and certificates.

(1) Medicare supplement policies and certificates must return to policyholders or certificate holders benefits that are reasonable in relation to the premium charged. The commissioner shall adopt reasonable rules to establish minimum standards for loss ratios of medicare suppleme…

(1) In order to provide for full and fair disclosure in the sale of medicare supplement policies and certificates, a medicare supplement policy may not be delivered or issued for delivery in this state and a certificate may not be delivered pursuant to a group medicare supplement…

Medicare supplement policies and certificates must have a notice prominently printed on the first page of the policy or certificate or attached to the policy or certificate stating in substance that the applicant has the right to return the policy or certificate within 30 days of…

Rules adopted pursuant to this part are subject to the provisions of 33-1-313 and Title 2, chapter 4.

Every issuer of medicare supplement policies or certificates in this state shall provide to the commissioner for the commissioner's approval a copy of any medicare supplement advertising intended for use in this state, whether through written, radio, or television medium.

In addition to any other penalties for violations of the insurance code, the commissioner may after hearing require issuers violating any provision of or rule adopted under Title 33, chapter 16, or this part to cease marketing a medicare supplement policy or certificate in this s…

(1) If an issuer discontinues or does not renew a medicare supplement policy product or certificate and offers an alternate medicare supplement policy or certificate to its insureds within this state, it may not deny benefits under the replacing policy or certificate to an insure…

(1) Alternate medicare supplement coverage as provided in 33-22-921 must be offered to its insureds by an issuer that: (a) bulk cedes its medicare supplement policy business to an insurer that does not meet the requirements of chapter 2; (b) authorizes the bulk reinsurer to admin…

(1) If an issuer replaces a medicare supplement policy or certificate, it may not deny benefits under the replacing policy or certificate to an insured who receives treatment for a condition that was a covered expense under the replaced policy or certificate and is a covered expe…

(1) If a person pays a renewal premium on the date it is due or within 31 days after it is due, an issuer may not refuse to renew a medicare supplement policy or certificate unless the issuer: (a) refuses to renew all policies or certificates in this state that are of the same fo…