№ lp_1_2_50785
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This document provides regulatory guidelines and compliance details related to Medicare Supplement Insurance policies for the insurance industry in the United States, based on various legislative acts.
Year:
2018
Region / City:
United States
Topic:
Medicare Supplement Insurance Regulations
Document Type:
Regulatory Manual
Organization / Institution:
National Association of Insurance Commissioners (NAIC)
Author:
National Association of Insurance Commissioners (NAIC)
Target Audience:
Insurance Regulators, Insurers, Financial Analysts, Accountants, and Educators
Period of Validity:
Ongoing (as of 2018)
Approval Date:
October 2018
Amendment Date:
No specific amendments mentioned
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2026
Organization:
Texas Department of Insurance
Document Type:
Amendment Proposal Form
Related Manual:
2026 Valuation Manual, VM-20
Sections:
9.F.3, 9.F.4, Appendix 2
Author:
Rachel Hemphill
Date Received:
10/28/25
Notes:
2025-15 VM-20, Section 9.F.3 and 9.F.4
Year:
2025
Document type:
Amendment Proposal Form
Organization:
National Association of Insurance Commissioners
Affiliated bodies:
Life Actuarial (A) Task Force; Health Actuarial (B) Task Force
Valuation Manual sections:
VM-20 Section 9.G.8; VM-21 Section 4.A.5
Issue title:
Clarification of contractually guaranteed revenue sharing income
Authors:
Rachel Hemphill; Jacob Allensworth; Elaine Lam; Ben Slutsker
Author affiliations:
Texas Department of Insurance; California Department of Insurance; Minnesota Department of Commerce
Manual edition date:
January 1, 2025
APF reference:
APF 2025-05
Date received:
February 10, 2025
Subject matter:
Actuarial guidance; revenue-sharing agreements; insurance valuation
Regulatory scope:
Insurance valuation standards
Year:
[Insert]
Region / City:
[Insert]
Topic:
Use of Artificial Intelligence in Insurance
Document Type:
Bulletin
Organization / Institution:
[Department/Commissioner]
Author:
[Insert]
Target Audience:
All Insurers Licensed to Do Business in [Insert Name of Jurisdiction]
Effective Period:
[Insert]
Approval Date:
[Insert]
Amendment Date:
[Insert]
Year:
2019
Region / city:
United States
Topic:
Insurance Regulation, Group Capital Calculation
Document Type:
Guidelines / Instructions
Organization:
National Association of Insurance Commissioners (NAIC)
Author:
NAIC ComFrame Development and Analysis (G) Working Group
Target Audience:
Insurance regulators, financial condition committees
Effective Period:
2015 - ongoing
Approval Date:
September 11, 2015
Date of Changes:
June 28, 2019
Year:
2020
Region / City:
Kansas City, MO
Theme:
Accounting Guidance
Document Type:
Exposure Draft
Organization / Institution:
National Association of Insurance Commissioners (NAIC)
Author:
D. Keith Bell, Rose Albrizio
Target Audience:
Interested parties in insurance accounting
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2020
Region / City:
United States
Subject:
Accounting Practices, Procedures, Reinsurance
Document Type:
Manual
Organ / Institution:
NAIC
Author:
NAIC staff
Target Audience:
Statutory Accounting Principles (E) Working Group
Effective Period:
Ongoing
Approval Date:
July 30, 2020
Date of Changes:
July 30, 2020
Identification:
Rachel Hemphill, Texas Department of Insurance
Title of the Issue:
Clarify reflection of negative IMR
Document Referenced:
NAIC Valuation Manual
Sections Affected:
VM-20 Section 7.D.7; VM-30 Section 3.B.5; VM-21 Section 4.A.7
Effective Date Referenced:
January 1, 2025
Proposal Number:
APF 2024-13
Related Proposal:
APF 2023-08
Date Received:
08/15/2024
Review Status:
Reviewed by Staff (KK)
Exposure Period:
21 days beginning 8/29/2024
Comment Noted:
Craig Chupp (VA), 10/23/2024 email regarding use of PIMR instead of IMR
Issuing Body:
Life Actuarial (A) Task Force / Health Actuarial (B) Task Force
Subject Matter:
Allocation and treatment of negative IMR and PIMR in reserve modeling and asset adequacy analysis
Type of Document:
Amendment proposal form
Regulatory Context:
Statutory accounting procedures and principle-based reserves (PBR)
Year:
2025
Note:
Region / City
Topic:
Life and Fraternal Annual and Quarterly Statement Changes
Document Type:
Agenda Item Submission
Organization / Institution:
National Association of Insurance Commissioners (NAIC)
Target Audience:
Regulators, Life Insurance Industry, Actuaries
Effective Period:
Annual 2026, Quarterly 2028
Date of Amendments:
11/17/2022
Year:
2000
Region / City:
United States
Topic:
Insurance, Producer Licensing
Document Type:
Resolution
Organization:
National Conference of Insurance Legislators (NCOIL)
Author:
NCOIL State-Federal Relations Committee
Target Audience:
State legislators, insurance commissioners
Effective Period:
Not specified
Approval Date:
July 7, 2000
Amendment Date:
Not specified
Context:
The document is a resolution adopted by NCOIL in support of uniformity and reciprocity provisions for producer licensing under the NAIC Producer Licensing Model Act.
Year:
2019
Region / City:
Austin, TX
Topic:
National Insurance Regulation
Document Type:
Briefing Memo
Organization / Institution:
National Association of Insurance Commissioners (NAIC)
Author:
Laura Kane, Stefanie Bryant
Target Audience:
NAIC President, Vice President, Secretary-Treasurer, and other stakeholders
Period of Effect:
2019
Approval Date:
Dec. 4, 2019
Modification Date:
N/A
Year:
2022
Region / City:
United States
Topic:
Health Insurance, Actuarial Science, Long-Term Care Insurance
Document Type:
Task Force Report
Organization:
National Association of Insurance Commissioners (NAIC)
Author:
NAIC Health Actuarial (B) Task Force
Target Audience:
Health insurance professionals, actuaries, NAIC members
Period of Action:
2022-2023
Approval Date:
December __, 2022
Date of Changes:
October __, 2022
Year:
2024
Document Type:
Proposed charges and work program
Organization:
National Association of Insurance Commissioners (NAIC)
Committee:
Health Insurance and Managed Care (B) Committee
Task Force:
Regulatory Framework (B) Task Force
Subgroups and Working Groups:
ERISA (B) Working Group; Mental Health Parity and Addiction Equity Act (MHPAEA) (B) Working Group; Accident and Sickness Insurance Minimum Standards (B) Subgroup; Pharmacy Benefit Manager Regulatory Issues (B) Subgroup
Subject Area:
Health insurance regulation and state regulatory policy
Jurisdiction:
United States
Related Legislation and Policies:
Affordable Care Act (ACA); Employee Retirement Income Security Act (ERISA); Mental Health Parity and Addiction Equity Act (MHPAEA)
Key Topics:
State health insurance regulation; association health plans; short-term limited-duration coverage; pharmacy benefit manager regulation; prescription drug pricing transparency; insurance regulatory coordination
Draft Date:
June 7, 2024
Adopting Bodies:
NAIC Executive Committee and Plenary; Health Insurance and Managed Care (B) Committee; Regulatory Framework (B) Task Force
Supporting Staff:
Jolie H. Matthews; Jennifer R. Cook
Year:
2022
Type of Document:
Regulatory Filing Schedule
Jurisdiction:
United States (various states)
Organization:
NAIC (National Association of Insurance Commissioners)
Target Audience:
Insurance companies, health entities
Document Sections:
Financial Statements, Supplements, Electronic Filing Requirements, Audit/Internal Control Reports, State Required Filings
Filing Deadlines:
Various dates throughout 2022
Form Sources:
NAIC, Company
Filing Method:
Hard copy, Electronic only (EO), PDF submissions
Applicable Notes:
A, B, C, D, E, F, G, H, I, J, M, N, O, P, Q, R, S, T, V, W, X, Y
Reporting Requirements:
Domestic and foreign insurance entities, holding company systems, risk-based capital reports, supplemental data, actuarial opinions
Year:
1995
Region / City:
United States
Topic:
Medicare Appeal Rights
Document Type:
Notice
Organization / Institution:
Centers for Medicare & Medicaid Services (CMS)
Author:
CMS
Target Audience:
Medicare beneficiaries
Period of validity:
Not specified
Approval Date:
Not specified
Modification Date:
Not specified
Year:
2020
Region / City:
United States
Topic:
Medicare Advantage Reporting Requirements
Document Type:
Government Report
Organization / Institution:
Centers for Medicare and Medicaid Services (CMS)
Author:
Centers for Medicare and Medicaid Services (CMS)
Target Audience:
Medicare Advantage Organizations, CMS staff, Health Plans
Period of Validity:
2020–2023
Approval Date:
2020
Amendment Date:
N/A
Year:
2022
Region / City:
United States
Theme:
Medicare Payment Systems
Document Type:
Final Rule
Organization / Institution:
Centers for Medicare & Medicaid Services (CMS)
Author:
Centers for Medicare & Medicaid Services (CMS)
Target Audience:
Healthcare Providers, Medicare Beneficiaries
Effective Date:
January 1, 2022
Approval Date:
November 2, 2021
Revision Date:
N/A
Year:
2025
Region / City:
Oregon
Theme:
Medicare Advantage, Coordinated Care
Document Type:
Report
Organization:
Oregon Health Authority (OHA)
Author:
Oregon Health Authority (OHA)
Target Audience:
Coordinated Care Organizations (CCOs), Medicare Advantage Plans
Period of Effect:
Medicare Plan Year 2026
Approval Date:
November 15, 2025
Amendment Date:
Not specified
Year:
2025
Region / City:
Victoria, Australia
Topic:
HIV treatment, healthcare program
Document type:
Official publication
Organization / Institution:
Victorian Government, Department of Health
Author:
Victorian Government
Target audience:
Healthcare professionals, HIV patients, healthcare policy makers
Date of approval:
August 2025
Date of changes:
Not specified
Note:
Year
Subject:
Managed Care, Medicaid, Health Insurance
Document Type:
Manual
Organization:
Health Care Authority (HCA), Department of Social and Health Services (DSHS)
Target Audience:
Staff, Health Care Providers
Year:
2025
Jurisdiction:
New York State
Document type:
Regulatory filing checklist
Line of business:
Individual Medicare Supplement Insurance
Regulatory authority:
New York State Department of Financial Services
Applicable regulations:
New York Insurance Law; 11 NYCRR Parts 52, 58, 215, 420
Insurance plans referenced:
Medicare Supplement Plans A, B, C, D, F, F+, G, G+, K, L, M, N
Filing scope:
Policy forms, riders, endorsements, applications, and rate filings
Update date:
March 2025
Intended users:
Insurers submitting Medicare supplement insurance filings in New York State
Source category:
Administrative regulatory guidance