Section 1404 – Rulemaking authority.
Effective 5/5/2021 31A-22-1404. Rulemaking authority. The commissioner may adopt rules that may permit or include: (1) the increase of benefits over time; (2) standards for full and fair disclosure of the manner, content, and required disclosures for the sale of long-term care insurance policies; (3) terms of renewability; (4) initial and subsequent conditions of eligibility; […]
Section 1405 – Restrictions on terms of coverage.
31A-22-1405. Restrictions on terms of coverage. No long-term care insurance policy may: (1) be canceled, nonrenewed, or otherwise terminated on the grounds of the age or the deterioration of the mental or physical health of the insured individual or certificate holder; (2) contain a provision establishing a new waiting period in the event existing coverage […]
Section 1406 – Preexisting conditions.
31A-22-1406. Preexisting conditions. (1) A long-term care insurance policy or certificate may not use a definition of a preexisting condition which is more restrictive than the following: “Preexisting condition means a condition for which medical advice or treatment was recommended by or received from a provider of health care services, within six months preceding the […]
Section 1407 – Restricted conditional terms.
31A-22-1407. Restricted conditional terms. (1) A long-term care insurance policy may not contain a provision that conditions eligibility: (a) for any benefits on a prior hospitalization requirement; (b) for benefits provided in an institutional care setting on the receipt of a higher level of institutional care; or (c) for any benefits on a prior institutionalization […]