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OAC 365:10

INSURANCE DEPARTMENT

such plan or program, the subsequent enrollment shall be deemed to be an initial enrollment described in Section 365:10-5-129.1(b)(6); and

    • (3)

      For purposes of Sections 365:10-5-129.1(b)(5) and (b)(6), no enrollment of an individual with an organization or provider described in Section 365:10-5-129.1(b)(5)(a), or with a plan or in a program described in Section 365:10-5-129.1(b)(6), may be deemed to be an initial enrollment under this paragraph after the two-year period beginning on the date on which the individual first enrolled with such an organization, provider, plan or program.

  • (e)

    Products to which eligible persons are entitled. The Medicare supplement policy to which

eligible persons are entitled under:

  • (1)

    Section 365:10-5-129.1(b)(1), (2), (3) and (4). Section 365:10-5-129.1(b)(1), (2),

  • (3)

    and (4) is a Medicare supplement policy which has a benefit package classified as Plan

A, B, C, F (including F with a high deductible), K or L offered by any issuer.

  • (2)

    Section 365:10-5-129.1(b)(5).

    • (A)

      Subject to subparagraph (B), Section 365:10-5-129.1(b)(5) is the same Medicare supplement policy in which the individual was most recently previously enrolled, if available from the same issuer, or, if not so available, a policy described in Section 365:10-5-129.1(c)(1).

    • (B)

      After December 31, 2005, if the individual was most recently enrolled in a Medicare supplement policy with an outpatient prescription drug benefit, a Medicare supplement policy described in this subparagraph is: The policy available from the same issuer but modified to remove outpatient prescription drug coverage; or at the election of the policyholder, an A, B, C, F (including F with a high deductible, K or L policy that is offered by any issuer;

  • (3)

    Section 365:10-5-129.1(b)(6)(A). Section 365:10-5-129.1(b)(6)(A) shall include any

Medicare supplement policy offered by any issuer.

(4)

Section 365:10-5-129.1(b)(6)(B). Section 365:10-5-129.1(b)(6)(B) is a Medicare

(f)

supplement policy that has a benefit package classified as Plan A, B, C, F (including F with a high deductible, K or L, and that is offered and is available for issuance to new enrollees by the same issuer that issued the individual’s Medicare supplement policy with outpatient prescription drug coverage . Notification provisions. (1) At the time of an event described in Section 365:10-5-129.1(b) because of which an individual loses coverage or benefits due to the termination of a contract or agreement, policy, or plan, the organization that terminates the contract or agreement, the issuer terminating the policy, or the administrator of the plan being terminated, respectively, shall notify the individual of his or her rights under this section, and of the obligations of issuers of Medicare supplement polices under Section 365:10-5-129.1(a). Such notice shall be communicated contemporaneously with the notification of termination. (2) At the time of an event described in Section 365:10-5-129.1(b) because of which an individual ceases enrollment under a contract or agreement, policy, or plan, the organization that offers the contract or agreement, regardless of the basis for the cessation of enrollment, the issuer offering the policy, or the administrator of the plan, respectively, shall notify the individual of his or her rights under this section, and of the obligations of issuers of

Medicare supplement policies under Section 365:10-5-129.1(a).

Such notice shall be

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