State RegulationsIL specificDifficulty 3/5
A producer sells both Medicare supplement and long-term care insurance in Illinois. Which rule applies only to the Medicare supplement sale?
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Answer & full 3-part explanation (select an option above, or peek)
Why D is correct
The annual birthday open enrollment period — a 45-day window each year for policyholders aged 65 to 75 to switch to equal or lesser benefits — exists only in the Medicare supplement statute, 215 ILCS 5/363. The LTC training requirement and the Partnership inflation protection requirement belong to the long-term care framework of 215 ILCS 5/351A-1 and 50 Ill. Adm. Code 2012, so distinguishing the two regimes tells the producer which obligations attach to which product.
Why the other options are wrong
- A) The LTC training requirement attaches to selling long-term care insurance, not Medicare supplement policies.
- B) Inflation protection is a qualification requirement for LTC Partnership policies under the LTC framework, not for Medicare supplements.
- C) 50 Ill. Adm. Code 2012 is the long-term care administrative rule; the Medicare supplement rule is 50 Ill. Adm. Code 2008.
Memory hook
Birthday windows are Med-sup-only; LTC never had one.