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Senior Issues (B) Task Force
Health Insurance and Managed Care (B) Committee

Mission
The mission of the Senior Issues (B) Task Force (SITF) is to consider policy issues, develop appropriate regulatory standards and to revise the NAIC models, consumer guides and training material, as necessary, on long-term care insurance, Medicare supplement insurance, senior counseling programs and other insurance issues which affect older Americans.

The task force also monitors the progress of the Federal Long Term Care Insurance Program, and the CMS educational initiative on the need for long term care planning. The SITF is specifically charged to monitor and provide assistance to the States on the implementation of the 2000 rating practices amendments to the Long Term Care Insurance Model Regulation.

2008 Charges

Ongoing Maintenance of NAIC Programs, Products and Services

  1. Review model laws adopted in 2003 and recommend whether they be retained, revised or deleted. Report by 2008 Winter National Meeting;

  2. Continue to monitor and work with federal agencies to advance appropriate regulatory standards for Medicare Supplement and other forms of health insurance applicable to older Americans. Report quarterly;

  3. Review the Medicare Supplement Insurance Minimum Standards Model Act and Regulation to determine if amendments are required based on changes to federal law and revise if necessary. Report by 2008 Winter National Meeting;

  4. Monitor the Medicare Advantage and Medicare Part D marketplace, assist the states as necessary with regulatory issues, and maintain a dialogue and coordinate with CMS on regulatory issues, including solvency oversight of waived plans and agent misconduct. Report quarterly.

  5. Monitor, assist states in, and work with the U.S. Congress and the Centers for Medicare and Medicaid Services on, implementation of changes to the Model Regulation to Implement the NAIC Medicare Supplement Insurance Minimum Standards Model Act to modernize the Medicare supplement market, as approved by the NAIC in March 2007. Report quarterly;

  6. Continue to monitor the changes in the Medicare Supplement insurance market and assist states with implementation of Medicare Supplement Model amendments due to federal statutory changes. Report quarterly;

  7. Provide the perspective of state insurance commissioners to the U.S. Congress, as appropriate, and the Centers for Medicare & Medicaid Services of the U.S. Department of Health and Human Services on insurance issues, including concerning the effect and result of federal activity on the senior citizen health insurance marketplace and regulatory scheme;

  8. Work with the Centers for Medicare & Medicaid Services to revise the annual joint publication, Guide to Health Insurance for People with Medicare;

  9. Monitor information on legislation impacting the funding of State Health Insurance Assistance Programs (SHIP). Report quarterly;

  10. Assist the states and serve as clearinghouse for information on Medicare Advantage plan activity. Report quarterly;

  11. In accordance with changes to the Model Regulation to Implement the NAIC Medicare Supplement Insurance Minimum Standards Model Act approved by the NAIC in March 2007, monitor and maintain a record of state approvals of all Medicare supplement insurance new or innovative benefits for use by regulators and others; and

  12. In accordance with changes to the Model Regulation to Implement the NAIC Medicare Supplement Insurance Minimum Standards Model Act approved by the NAIC in March 2007, periodically review state-approved new or innovative benefits and consider whether to recommend that they be made part of standard benefit plan designs in the model regulation.

Long Term Care Partnership Program Technical Assistance

Medicare Private Plans Subgroup
Related NAIC Publications

A Shopper's Guide to Long-Term Care Insurance

Choosing a Medigap Policy
Compendium of State Laws on Insurance Topics
Model Laws, Regulations and Guidelines
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Medicare Private Plans White Paper Draft - 08-06-08

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August 5, 2008 1:00 p.m CT, 2:00 p.m. ET

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NAIC Comment Letter to CMS Proposed Federal Rule (July 2008)

Letters to Congress Regarding Abuses in the Marketing and Sales of Medicare Advantage and Medicare Prescription Drug Coverage Plans (6/19/07)

Summary Long Term Care Partnership Provisions of Deficit Reduction Act of 2005
Long Term Care Partnership Questions Memo

Administrator McClellan Response to NAIC Letter (8/20/2006)

Cover Memo for MOU with Centers for Medicare and Medicaid Services (11-30-06)
Medicare Part D Memorandum of Understanding (MOU) for States and Centers for Medicare and Medicaid Services (11-29-06)
Centers for Medicare and Medicaid Services Response to NAIC Letter (10/16/2006)
Letter to Mark McClellan, Administrator, Centers for Medicare and Medicaid Services from U.S. House of Representatives regarding concerns with Medicare Part D (9/7/2006)
Letter in support of extending Medicare Part D initial enrollment period
Request from Centers for Medicare and Medicaid Services for update on State guarantee issue rules for MedicareAdvantage participants (7/12/2006)
Letter in support of increased funding for State Health Insurance Assistance Programs (7/11/2006)
Commissioner Gomez testimony, on behalf of NAIC, before the House Ways and Means Committee on Medicare Part D implementation issues (6/14/2006)
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Media queries should be directed to the NAIC Communications Division at 816-783-8909 or news@naic.org.
Jane Sung
Health Policy and Legislative Analyst & Counsel
Phone: 202-471-3979
Fax: 202-471-3972

Jennifer R. Cook
Health Policy and Legislative Analyst & Counsel
Phone: 202-471-3986
Fax: 202-471-3972

Brian Webb
Manager, Health Policy and Legislation
Phone: 202-471-3978
Fax: 202-471-3972

Please see the current Committee List for a complete list of committee members.