State RegulationsTX specificDifficulty 1/5
The Texas Medicare supplement minimum standards found in 28 TAC 3.3301-3.3310, 3.3312-3.3313, and 3.3315-3.3325 are best described as what?
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Answer & full 3-part explanation (select an option above, or peek)
Why C is correct
Under the Texas Medicare supplement rules at 28 TAC 3.3301-3.3310, 3.3312-3.3313, and 3.3315-3.3325, the Texas Department of Insurance prescribes minimum standards for Medicare supplement policies, including the benefit standards each policy must satisfy and the standardized benefit plans that may be offered. A Medicare supplement policy may not be delivered or issued for delivery in Texas unless it conforms to those standards. For a Texas agent, this means only the adopted standard plan designs may be sold, with no customized benefit packages.
Why the other options are wrong
- A) Who qualifies for Medicare is determined by federal Medicare law, not by the Texas Medicare supplement rules.
- B) Physician payment for Medicare beneficiaries is a Medicare program matter, not the subject of these Texas policy minimum standards.
- D) The rules do not set premium rates. Rates are filed by the issuer subject to TDI review; the rules govern policy content and minimum benefits.
Memory hook
The Texas rules set minimum benefits and standardized plan designs.