Missouri Revised Statutes

Mo. Rev. Stat. § 376.874 (2026)

Requirements of policy, return to policyholders

✓ current as of May 2026
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  376.874.  Requirements of policy, return to policyholders. — Medicare supplement policies shall return to policyholders benefits which are reasonable in relation to the premium charged.  The director shall issue reasonable regulations to establish minimum standards for loss ratios of Medicare supplement policies on the basis of incurred claims experience, or incurred health care expenses where coverage is provided by a health maintenance organization on a service rather than reimbursement basis, and earned premiums in accordance with accepted actuarial principles and practices.

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(L. 1989 H.B. 615 & 563, A.L. 1990 H.B. 1630, A.L. 1992 H.B. 1574)

Effective 7-06-92

Notes of Decisions
Cited in 3 cases (1 in the last 5 years), 1999–2023 · leading case: Dierkes v. Blue Cross & Blue Shield of Missouri, 991 S.W.2d 662 (Mo. 1999).
Dierkes v. Blue Cross & Blue Shield of Missouri, 991 S.W.2d 662 (Mo. 1999). · cites it 16× “The Missouri Medicare Supplement Insurance Act (MMSIA) provides in section 376.874: 1 Medicare supplement policies shall return to policyholders benefits which are reasonable in relation to the premium charged.”
Saunders v. Farmers Ins. Exch., 515 F. Supp. 2d 1009 (W.D. Mo. 2007). · cites it 2× “The trial court’s dismissal of causes of action based solely on the statutory violation is affirmed.”
Thomas Sullivan v. City of Univ. City (Mo. Ct. App. 2023). · cites it 2× “Likewise, in Dierkes, the plaintiffs sued not “solely for [defendant’s] violation of section 376.874,” but “for, among other things, fraud, breach of contract, unjust enrichment, and breach of duty of good faith, claims existing independent of the foregoing statute.”
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