Can a carrier still use Standard Industrial Classifications (SIC) codes for rating purposes (industry loads)?
A. Yes. The codes may only be used to rate the group as a whole and not applied on an individual employee basis. _____________________________________________________________________ INDIVIDUAL GUARANTEED RENEWABILITY 6A. Q. May issuers continue to terminate individual policies if an issuer determines there is duplicate coverage, such as in a group plan? A. No. The guaranteed renewability provisions of HIPAA list specific cases when issuers can terminate an individual policy. It is quite clear that contracts may not be terminated for duplicate coverage because of the guaranteed renewability provisions. Reference: 45 CFR 148.200. 6B. Q. What, if any, coordination with Medicare is permitted in Illinois in the case of individual policies sold prior to Medicare eligibility? A. The guaranteed renewability provisions and the interim rules allow coordination with Medicare if state law allows coordination. The Illinois Minimum Standards of Individual Accident and Health Insurance (50 Ill. Adm.
