28 TAC §3.3303 — what it says, and how the exam tests it

28 TAC §3.3303. The following words and terms, when used in this subchapter, have the following meanings, unless the context clearly indicates otherwise. (1) 1990 Standardized Medicare supplement benefit plan, 1990 Standardized benefit plan, or 1990 plan--A group or individual policy of Medicare supplement insurance issued or issued for delivery on or after March 1, 1992, and with an effective date for coverage before June 1, 2010. (2) 2010 Standardized Medicare supplement benefit plans, 2010 Standardized benefit plan, or 2010 plan--A group or individual policy of Medicare supplement insurance with an effective date for coverage on or after June 1, 2010. (3) 2020 newly eligible individual--An individual who is newly eligible for Medicare on or after January 1, 2020: (A) by reason of attaining age 65 on or after January 1, 2020; or (B) by reason of entitlement to benefits under Part A under section 42 U.S.C. §426(b) or 42 U.S.C. §426-1, or who is deemed to be eligible for benefits under section 42 U.S.C. §426(a) on or after January 1, 2020. An individual who becomes Medicare eligible or turns 65 before January 1, 2020, is not a 2020 newly eligible individual. (4) Applicant-- (A) In the case of an individual Medicare supplement policy, the person who seeks to contract for insurance or other health benefits. (B) In the case of a group Medicare supplement policy, the proposed certificate holder. (5) Bankruptcy--The situation that occurs when a Medicare Advantage organization that is not an issuer has filed, or has had filed against it, a petition for declaration of bankruptcy and has ceased doing business in Texas. (6) Certificate--Any certificate issued under a group Medicare supplement policy, for which a certificate has been delivered or issued for delivery in this state regardless of the place where the policy was delivered or issued for delivery. (7) Continuous period of creditable coverage--The period during which an individual was covered by creditable coverage, if, during the period of the coverage, the individual had no breaks in coverage greater than 63 days. (8) Creditable coverage--Any coverage of an individual as defined in §21.1101 of this title (relating to Definitions). (9) Employee welfare benefit plan--A plan, fund, or program of employee benefits as defined in 29 U.S.C. §1002 (Employee Retirement Income Security Act). (10) Health Maintenance…