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Indiana Department of Insurance

IDOI > Company Compliance > Accident & Health  > Product Filing Information/Instructions  > INDIVIDUAL and GROUP FILING INSTRUCTIONS for MEDICARE SUPPLEMENT INDIVIDUAL and GROUP FILING INSTRUCTIONS for MEDICARE SUPPLEMENT

All filings must be submitted via SERFF and include the following information for form and/or rate filings:

Form Filing Instructions

  1. Complete the appropriate checklist for the filing submitted.
    1. 14 Medicare Supplement Individual Checklist
    2. 24 Medicare Supplement Group Checklist
  2. Include applicable filing requirements.
    1. 4.4 Medicare Supplement New Rate/Form
      1. Requirement applies to new rates and/or forms filed.
        (Provide data for section II. if the form filing affects rates or benefit structure.)
    2. Provide the SERFF Tracking Number(s) for prior and/or current rate filings related to the form filing within the last 18 months. Include data under the General Information tab in the Filing Description field.
  3. Add the form number to the lower left-hand corner of the first page of the policy to relevant documents, such as riders and amendments.
    1. Documents must be in final print form.
    2. Form numbers cannot be variable.

Rate Filing Instructions

  1. Complete the appropriate checklist for the filing submitted.
    (Some sections may not be relevant to rate filings.)
    1. 14 Medicare Supplement Individual Checklist
    2. 24 Medicare Supplement Group Checklist
  2. Include applicable filing requirements.
    1. 4.4 Medicare Supplement New Rate/Form
      1. Requirement applies to new rates and/or forms filed.
    2. 4.4(A) Medicare Supplement Rate Adjustment 
      1. Requirement applies to rate adjustments for existing rates as an increase, decrease or rate neutral.
  3. Include related policy form numbers.
  4. Complete Medicare Supplement Experience Workbook.
    1. Applicable to rate adjustments for existing rates.
    2. Include as an attachment under the Supporting Documentation tab in SERFF with the file name “Experience Workbook.”
  5. Complete filing Attestations.

*Carriers that need their Medicare Supplement products reviewed prior to the annual Medicare Supplement open enrollment beginning in October, must submit their rate and/or form filings via SERFF to the IDOI by July 15. This will allow for a timely review to ensure availability of product by the beginning of open enrollment.

*Product filings fees for rates and policy forms must be submitted via Electronic Funds Transfer (EFT) at the time of filing submission. View General Instructions in SERFF for additional details.