# UT Insurance Bulletin 92-1: Apparent Practices that Violate the Open Enrollment Law

> Utah · Agency guidance · In force

URL: https://www.frixlaw.com/law-library/statutes/UT_INS_B_1992-01

## Section

- **Citation:** UT Insurance Bulletin 92-1
- **Heading:** Apparent Practices that Violate the Open Enrollment Law
- **Jurisdiction:** Utah
- **Kind:** Agency guidance
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Utah Insurance Department Bulletins and Orders / Apparent Practices that Violate the Open Enrollment Law

## Text

BULLETIN 92-1
TO: Domestic Medicare Supplement Insurers
FROM: Commissioner of Insurance
DATE: March 3, 1992
RE: Apparent Practices that Violate the Open Enrollment Law
The Omnibus Budget Reconciliation Act of 1990 (42 U.S.C. Section 1395
(s)(2)(A)) and Section 11 of the NAIC Medicare Supplement Insurance Model
Regulation provide for a six month open enrollment period for Medicare
beneficiaries 65 years of age or older who first enroll for benefits under Medicare
Part B. These provisions state that Medicare supplement insurance issuers may
not deny or condition the issuance or effectiveness of, nor discriminate in the
pricing of a Medicare supplement policy during the open enrollment period.
It has come to the attention of the NAIC Medicare Supplement and Other Limited
Benefit Plans (B) Task Force that some Medicare supplement issuers have taken
actions which are contrary to the legislative intent of the open enrollment
requirement. These actions include the following:
Creating a disincentive to sell Medicare supplement policies during the
open enrollment period by establishing compensation arrangements that
result in producers receiving substantially lower or no compensation for
policies sold pursuant to the open enrollment provision.
1.
Applying pre-existing condition limitation waiting periods only to those
policies issued pursuant to the open enrollment provision.
2.
Engaging in premium rating practices which result in higher premiums
solely for those policies issued pursuant to the open enrollment provision.
3.
The Task Force believes the practices outlined above violate the legislative intent
and spirit of the federal law and violate the section in the model regulation on
open enrollment which is patterned after the federal law.
Insurers should be aware of the existing laws, both state and federal, regarding
Medicare supplement insurance to determine whether violations appear to be
occurring
ovision.
3.
The Task Force believes the practices outlined above violate the legislative intent
and spirit of the federal law and violate the section in the model regulation on
open enrollment which is patterned after the federal law.
Insurers should be aware of the existing laws, both state and federal, regarding
Medicare supplement insurance to determine whether violations appear to be
occurring. Until such time as the Utah Insurance Department adopts the NAIC
Model Regulation and has the authority to address violations, any evidence of
such violations will be referred to the U.S. Department of Health and Human
Services.
DATED this 3rd day of March, 1992.
Insurance Commissioner
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Bulletin
http://www.insurance.utah.gov/bulletin/92-1.htm
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6/25/2008 3:45 PM

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/UT_INS_B_1992-01. Check the current official text before relying on it. Not legal advice.
