24-A §5057. Applicability
§5057. Applicability This chapter applies only to policies and certificates issued before January 1, 2000. [PL 1999, c. 292, §1 (NEW).] SECTION HISTORY PL 1999, c. 292, §1 (NEW).
24-A §5051. Definitions
§5051. Definitions As used in this chapter, unless the context indicates otherwise, the following terms have the following meanings. [PL 1985, c. 648, §12 (NEW).] 1. Long-term care policy. “Long-term care policy” means a group or individual policy of health insurance, a subscriber contract of a nonprofit hospital or medical service organization or nonprofit […]
24-A §5051-A. Required and prohibited provisions
§5051-A. Required and prohibited provisions 1. Prohibited provisions. A long-term care policy may not: A. Contain coverage for skilled nursing facilities only; [PL 1989, c. 556, Pt. B, §3 (NEW).] B. Exclude coverage for skilled, intermediate or custodial care received by a resident of a skilled nursing or intermediate care facility; [PL […]
24-A §5051-B. Alternative policies
§5051-B. Alternative policies 1. Innovative long-term care products permitted. Notwithstanding section 5051‑A, an insurer, organization or plan may offer a long-term care policy, within the meaning of section 5051, subsection 1, which does not meet one or more of the requirements of section 5051‑A if the Superintendent of Insurance finds that: A. For each […]
24-A §5052. Specific standards
§5052. Specific standards 1. Standards for long-term care, home health care and nursing home care policies. The superintendent may adopt rules to establish specific standards for policy provisions of long-term care, home health care and nursing home care policies. The standards must be in addition to and in accordance with applicable laws of this State, […]
24-A §5052-A. Trial examination period
§5052-A. Trial examination period Nursing home care, home health care and long-term care policies must have a notice prominently printed on the first page of the policy or certificate or attached to the first page stating in substance that the applicant has the right to return the policy or certificate within 30 days of its […]
24-A §5053. Rulemaking, disclosure standards, compensation
§5053. Rulemaking, disclosure standards, compensation The superintendent may adopt reasonable rules to provide for the full and fair disclosure of information in connection with the sale of long-term care, home health care and nursing home care policies, including, but not limited to, an outline of coverage requirements and requirements relating to the replacement sale of […]
24-A §5054. Certification by superintendent
§5054. Certification by superintendent 1. Filing of form. Any insurer, nonprofit hospital or medical service organization, or nonprofit health care plan may, at the time it files a policy or contract for approval for issuance or delivery in the State, or at any time thereafter, request that the superintendent certify the policy or contract as […]
24-A §5055. Tax incentives available
§5055. Tax incentives available 1. Reduced premium tax. Any insurance company choosing to offer an insurance policy which is certified by the superintendent as a long-term care policy shall qualify for the reduced tax on premiums collected under Title 36, section 2513. [PL 1989, c. 556, Pt. B, §4 (NEW).] 2. Income tax reduction. […]
24-A §5056. Standards for marketing
§5056. Standards for marketing Every insurer, health care service plan or other entity marketing nursing home care, home health care or long-term care insurance coverage in this State, directly or through its producers, shall: [PL 1997, c. 604, Pt. D, §7 (AMD).] 1. Policy comparison. Establish marketing procedures to ensure that any comparison of […]