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2026 Medicare Supplement Survey

Only submit for multiple companies at the same time if all answers are uniform for all companies included.
1.NAIC#(s) for companies included.(Required.)
2.Company Name(s):(Required.)
3.Please provide your company's toll-free number for prospective clients looking for Medicare Supplement Plan information.
4.URL for Consumer contact page.
5.Respondent Name(Required.)
6.Respondent Phone Number
7.Respondent Email
Even if you are no longer marketing and will answer no to question 10 please fill out questions 8 and 9 before submitting your survey response.
8.How many policyholders does your company currently cover under age 65?
9.How many policyholders does your company currently cover age 65 and over?
10.Is your company currently marketing Medicare Supplement Insurance Plans in the State of Colorado?(Required.)
Which Medicare Supplement insurance plan(s) does your company Market in the State of Colorado? (select all that apply)
11.For policyholders under age 65
12.For policyholders age 65 and older
13.Do you require membership in any kind of association to sell your Medicare Supplement to an individual?
Provide monthly rates for each Medicare Supplement plan your company markets in Colorado according to the following criteria:

Please enter only the cost rounded to the nearest dollar. Decimals, percentages, and non-numeric characters are not accepted.
14.Male, non-smoking, age 65, resides in zip code 80202
15.Female, non-smoking, age 65, resides in zip code 80202
16.Male, non-smoking, age 70, resides in zip code 80202
17.Female, non-smoking, age 70, resides in zip code 80202
18.Male, non-smoking, age 75, resides in zip code 80202
19.Female, non-smoking, age 75, resides in zip code 80202
20.Male, non-smoking, age 80, resides in zip code 80202
21.Female, non-smoking, age 80, resides in zip code 80202
22.Male, non-smoking, under 65, with disability, resides in zip code 80202
23.Female, non-smoking, under 65, with disability, resides in zip code 80202
24.What are the minimum and maximum ages imposed by your company by gender at which a Colorado consumer may purchase a Medicare Supplement insurance plan outside the guaranteed enrollment period?
If this is not applicable skip this question.
25.How are your Medicare Supplement insurance plan premiums calculated/rated?
26.Which Medicare Supplement plans does your company have an agreement with Medicare for automatic crossover of unassigned claims that Medicare does not already crossover?  (Please check all that apply.)
27.Has your company filed rate changes, increase or decrease, with the State of Colorado for Medicare Supplement plans that are waiting for approval?
28.What commissions are paid, if any, on the Medicare Supplement plans your company offers?
29.Mark the selections below that apply to your company.
30.Does your Company assess a policy fee?
31.Does your company impose a limitation for pre-existing conditions outside of the guarantee issue period?
32.Does your company offer any innovative benefits with your medicare supplements?
If so, please list for which plan(s), and describe the innovative benefits in detail
33.Outside of Open Enrollment and other guarantee issue situations does your company allow Medicare beneficiaries who currently have a Plan to change to a different letter plan within your company  without underwriting?
If so, under what circumstances and for what period of time?
34.Do you market on "third-party retiree exchanges or other similar third-party marketplaces.?"
35.Have you enrolled anyone to this point using the one-time SEP in 4-3-1?
36.Please provide any additional comments you may have related to this survey and it's process.  This includes any clarifying statements related to information entered above, or possible improvements you feel could be made.