Section 514G.107 – Nonforfeiture benefits.
514G.107 Nonforfeiture benefits. 1. Except as otherwise provided in subsection 2, a long-term care insurance policy or certificate shall not be delivered or issued for delivery in this state unless the policyholder or certificate holder has been offered the option of purchasing a policy or certificate that includes a nonforfeiture benefit. A nonforfeiture benefit may […]
Section 514G.108 – Prompt payment of claims — requirements.
514G.108 Prompt payment of claims — requirements. 1. An insurer providing long-term care insurance under this chapter and subject to state insurance regulation shall either accept and pay or deny a clean claim. For the purposes of this section, “clean claim” means a properly completed paper or electronic request for payment that contains all necessary […]
Section 514G.109 – Benefit trigger determinations — notice — appeals.
514G.109 Benefit trigger determinations — notice — appeals. 1. Notice. When a long-term care insurer determines that the benefit trigger in an insured’s long-term care insurance policy has not been met, the insurer shall provide a clear, written notice to the insured of all of the following: a. The reason that the insurer determined that […]
Section 514G.110 – Independent review of benefit trigger determinations.
514G.110 Independent review of benefit trigger determinations. 1. Request. An insured may file a written request for independent review of a benefit trigger determination with the commissioner after the internal appeal process has been exhausted. The request shall be filed within sixty days after the insured receives written notice of the insurer’s internal appeal decision. […]
Section 514G.111 – Authority to promulgate rules.
514G.111 Authority to promulgate rules. The commissioner may adopt rules pursuant to chapter 17A related to long-term care insurance and to the administration and enforcement of this chapter, including but not limited to the following: 1. Promoting adequate premiums and protecting policyholders in the event of substantial rate increases. 2. Establishing minimum standards for producer […]
Section 514G.112 – Severability.
514G.112 Severability. If any provision of this chapter or the application of this chapter to any person or circumstance is for any reason held to be invalid, the remainder of the chapter and the application of the provision to other persons or circumstances shall not be affected. 2008 Acts, ch 1175, §13
Section 514G.113 – Penalties.
514G.113 Penalties. In addition to any other penalties provided by the laws of this state, any insurer or any producer found to have violated a provision of this chapter or any other requirement of this state relating to the regulation of long-term care insurance or the marketing of such insurance shall be subject to a […]
Section 514G.7
514G.7 Repealed by 2008 Acts, ch 1175, §16 .
Section 514G.8
514G.8 Repealed by 2008 Acts, ch 1175, §16 .
Section 514G.10 – Long-term care consumer guide.
514G.10 Long-term care consumer guide. Repealed by 2008 Acts, ch 1175, §16 .