RCW 48.84.010 General provisions, intent. This chapter may be known and cited as the “long-term care insurance act” and is intended to govern the content and sale of long-term care insurance and long-term care benefit contracts issued before January 1, 2009, as defined in this chapter. This chapter shall be liberally construed to promote the […]
RCW 48.84.020 Definitions. Unless the context requires otherwise, the definitions in this section apply throughout this chapter. (1) “Long-term care insurance” or “long-term care benefit contract” means any insurance policy or benefit contract primarily advertised, marketed, offered, or designed to provide coverage or services for either institutional or community-based convalescent, custodial, chronic, or terminally ill […]
RCW 48.84.030 Rules—Benefits-premiums ratio, coverage limitations. (1) The commissioner shall adopt rules requiring reasonable benefits in relation to the premium or price charged for long-term care policies and contracts which rules may include but are not limited to the establishment of minimum loss ratios. (2) In addition, the commissioner may adopt rules establishing standards for […]
RCW 48.84.040 Policies and contracts—Prohibited provisions. No long-term care insurance policy or benefit contract may: (1) Use riders, waivers, endorsements, or any similar method to limit or reduce coverage or benefits; (2) Indemnify against losses resulting from sickness on a different basis than losses resulting from accidents; (3) Be canceled, nonrenewed, or segregated at the […]
RCW 48.84.050 Disclosure rules—Required provisions in policy or contract. (1) The commissioner shall adopt rules requiring disclosure to consumers of the level, type, and amount of benefits provided and the limitations, exclusions, and exceptions contained in a long-term care insurance policy or contract. In adopting such rules the commissioner shall require an understandable disclosure to […]
RCW 48.84.060 Prohibited practices. No insurance producer or other representative of an insurer, contractor, or other organization selling or offering long-term care insurance policies or benefit contracts may: (1) Complete the medical history portion of any form or application for the purchase of such policy or contract; (2) knowingly sell a long-term care policy or […]
RCW 48.84.070 Separation of data regarding certain policies. Commencing with reports for accounting periods beginning on or after January 1, 1988, all insurers, fraternal benefit societies, health care services contractors, and health maintenance organizations shall, for reporting and recordkeeping purposes, separate data concerning long-term care insurance policies and contracts from data concerning other insurance policies […]
RCW 48.84.910 Effective date, application—1986 c 170. RCW 48.84.060 shall take effect on November 1, 1986, and the commissioner shall adopt all rules necessary to implement RCW 48.84.060 by its effective date including rules prohibiting particular unfair or deceptive acts and practices in the advertising, sale, and marketing of long-term care policies and contracts. The […]
