Committees & Activities

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

Mission
The mission of the Senior Issues (B) Task Force is to 1) consider policy issues; 2) develop appropriate regulatory standards; and 3) revise, as necessary, the NAIC models, consumer guides and training material on Medicare supplement insurance, senior counseling programs and other insurance issues which affect older Americans.

2015 Charges

Ongoing Maintenance of NAIC Programs, Products or Services

The Senior Issues (B) Task Force will:

  1. Develop appropriate regulatory standards and revisions, as necessary, to the NAIC models, consumer guides and training material on Medicare supplement insurance, senior counseling programs and other insurance issues that affect older Americans.—Essential

  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.—Essential

  3. Review the Medicare Supplement Insurance Minimum Standards Model Act (#650) and the Medicare Supplement Insurance Minimum Standards Regulation (#651) to determine if amendments are required based on changes to federal law, and revise if necessary.—Essential

  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 the U.S. Centers for Medicare & Medicaid Services (CMS) on regulatory issues, including solvency oversight of waived plans and agent misconduct.—Essential

  5. Monitor and assist the states in the implementation of changes to Model #651 to modernize the Medicare supplement market, as approved by the NAIC in March 2007 and as required by the federal Medicare Improvement for Patients and Providers Act of 2008 and the federal Genetic Information Nondiscrimination Act of 2008.—Essential

  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.—Essential

  7. Provide the perspective of state insurance commissioners to the U.S. Congress, as appropriate, and CMS on insurance issues, including those concerning the effect and result of federal activity on the senior citizen health insurance marketplace and regulatory scheme.—Essential

  8. Review and monitor state and federal relations with respect to senior health care initiatives and other impacts on the states. Work with federal agencies as appropriate.—Essential

  9. Work with CMS to revise the annual joint publication, Choosing a Medigap Policy: A Guide to Health Insurance for People with Medicare.—Essential

  10. Monitor developments concerning the State Health Insurance Assistance Programs (SHIPs), including information on legislation impacting the funding of SHIPs, provide assistance to states with issues relating to SHIPs, support strong partnership between SHIPs and CMS, and provide the perspective of state insurance commissioners to federal officials, as appropriate on issues concerning SHIPs.—Important

  11. Assist the states and serve as a clearinghouse for information on Medicare Advantage plan activity. —Important

  12. Monitor and maintain, in accordance with changes to Model #651 approved by the NAIC in March 2007, a record of state approvals of all Medicare supplement insurance new or innovative benefits for use by regulators and others.—Important

  13. Review, in accordance with changes to Model #651 approved by the NAIC in March 2007, 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.—Important

  14. Develop appropriate regulatory standards and revisions, as necessary, to the NAIC models, consumer guides and training material on long-term care insurance. Work with federal agencies as appropriate. —Essential

  15. Continue to study and evaluate evolving long-term care insurance product design, rating, suitability and other related factors, and review the existing Long-Term Care Insurance Model Act (#640) and Long-Term Care Insurance Model Regulation (#641) to determine their flexibility to remain compatible with the evolving delivery of long-term care services and remain compatible with the evolving long-term care insurance marketplace.—Essential

  16. Monitor and provide assistance to the states on the implementation of the 2000 and 2014 rating practices amendments to Model #641, and the model bulletin adopted by the NAIC in December 2013 regarding alternative filing requirements for long-term care premium rate increases.—Important

  17. Examine whether there is anything the NAIC can or should do to address possible long-term care insurance reserve deficiencies and rating issues, such as mitigation against rate increases and death spirals.—Essential

  18. Explore options, in line with the NAIC’s current long-term care insurance models, where appropriate, and monitor efforts to ensure the fair or equal treatment of policyholders, including those in situations where policyholders live in multiple states.—Essential

Conference Call Calendar

NAIC conference calls & interim meetings are available on the NAIC Conference Call Calendar. See NAIC's revised policy statement on open meetings.

Advance Materials

2015 Summer National Meeting
Chicago, IL
Saturday, August 15, 2015
2:00 PM - 3:30 PM
Hyatt Regency Chicago-Crystal AB-Green Level-West Tower

Long-Term Care Consumer Disclosure Subgroup
Conference Call
August 4, 2015
12:30 PM ET/11:30 AM CT

Long-Term Care Consumer Disclosure Subgroup
Conference Call
July 16, 2015
12:30 PM ET/11:30 AM CT

Long-Term Care Consumer Disclosure Subgroup
Conference Call
June 29, 2015
1:00 PM ET/12:00 PM CT

Long Term Care Partnership Reporting (B) Subgroup
Conference Call
June 22, 2015
2:00 PM ET/1:00 PM CT

Long-Term Care Consumer Disclosure Subgroup
Conference Call
May 11, 2015
1:00 PM ET/12:00 PM CT

Long-Term Care Consumer Disclosure Subgroup
Conference Call
Thursday, April 9, 2015
12:30 PM ET/11:30 AM CT

2015 Spring National Meeting
Phoenix, Arizona
SENIOR ISSUES (B) TASK FORCE
Saturday, March 28, 2015
2:00 – 3:30 p.m.
Phoenix Convention Center North—Room 124 A/B—Street Level

Long Term Care Partnership Reporting Subgroup
Conference Call
Thursday, March 12, 2015
3:00 PM ET/2:00 PM CT

Senior Issues (B) Task Force
Conference Call
Monday, March 9, 2015
4:00 PM ET/3:00 PM CT

Long Term Care Consumer Disclosure (B) Subgroup
Conference Call
Thursday, March 5, 2015
1:00 PM ET/12:00 PM CT

Long Term Care Disclosure (B) Subgroup
Conference Call
September 3, 2015
2:30 PM ET/1:30 PM CT

Medigap (B) Subgroup
Conference Call
September 21, 2015
1:00 PM ET/12:00 CT

Go to the exposure draft index.

There are no exposure drafts at this time.

documents and resources
Medigap Innovative Benefit State Survey Results 4/28/15

Materials from Task Force Meeting at 2014 Summer National Meeting
Saturday, August 16, 2014

Amendments to LTC Model Regulation #641 as adopted by Exec/Plenary on 8/19/14

Medigap PPACA (B) Subgroup

CMS Guidance regarding Medigap and federal sequester 9-12-13

LTC Model Bulletin adopted by Exec/Plenary 12/18/13

Interim Meeting on Long-Term Care Insurance Issues
June 10-11, 2013

Public Hearing on Long-Term Care Insurance Issues
2012 Fall National Meeting
Wednesday, November 28, 2012
9:00 AM EDT - 12:00 PM EDT

Medigap Section 3210 of ACA

Letter to Secretary Sebelius about the SHIP program April 4, 2011
Mary Beth Senkewicz Testimony, on behalf of NAIC, on long-term care insurance (Oct. 14, 2009)

2010 Medigap Changes and Implementation

Medigap Preferred Hospital Arrangement Materials

Memorandum of Understanding with CMS

Long Term Care Partnership Program

Medicare Advantage

Related NAIC Publications
Draft meeting minutes are available free for meeting attendees 10 business days after a national meeting concludes, using the User ID and Password supplied by the NAIC. Regulators may access minutes via StateNet.
Final committee minutes and Proceedings of the NAIC are available to non–attendees, after adoption at the next national meeting, for free in the PDF format through the NAIC Products & Services website.
Contacts
Media queries should be directed to the NAIC Communications Division at 816-783-8909 or news@naic.org.

Brian Webb
Health Policy Team Manager
Phone: 202-471-3978
Fax: 202-471-3972

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