Department of insurance to pre-certify long-term insurance policies — no policy to be precertified with prohibited requirements — rules
Effective Aug 28, 1990(L. 1990 H.B. 998 § 11)
Viewing an earlier version · effective Aug 28, 1990
1. The department of insurance shall precertify long-term care insurance policies which are issued by insurers who, in addition to complying with other relevant laws and regulations:
- (1) Alert the purchaser to the availability of consumer information and public education provided by the division of aging and the department of insurance pursuant to sections 660.546 to 660.557;
- (2) Offer the option of home- and community-based services in lieu of nursing home care;
- (3) Offer automatic inflation protection or optional periodic per diem upgrades until the insured begins to receive long-term care benefits; provided, however, that such inflation protection or upgrades shall not be required of life insurance policies or riders containing accelerated long-term care benefits;
- (4) Provide for the keeping of records and an explanation of benefits reports to the insured and the department of insurance on insurance payments which count toward Medicaid resource exclusion; and
- (5) Provide the management information and reports necessary to document the extent of Medicaid resource protection offered and to evaluate the Missouri partnership for long-term care including, but not limited to, the information listed in section 660.553. Included among those policies precertified under this section shall be life insurance policies which offer long-term care either by rider or integrated into the life insurance policy.
- 2. No policy shall be precertified pursuant to sections 660.546 to 660.557, if it requires prior hospitalization or a prior stay in a nursing home as a condition of providing benefits.
- 3. The department of insurance may adopt regulations to carry out the provisions of sections 660.546 to 660.557.
(L. 1990 H.B. 998 § 11)