(1) The commissioner may by rule adopt standards for full and fair disclosure, setting forth the manner, content, and disclosures required to be made in a long-term care insurance policy, including but not limited to:
- (a) terms of renewability;
- (b) initial and subsequent conditions of eligibility;
- (c) nonduplication of coverage provisions;
- (d) coverage of dependents;
- (e) preexisting conditions;
- (f) termination of insurance;
- (g) continuation or conversion;
- (h) probationary periods;
- (i) limitations;
- (j) exceptions;
- (k) reductions;
- (l) elimination periods;
- (m) requirements for replacement;
- (n) recurrent conditions;
- (o) definition of terms;
- (p) prohibitions on limitations and exclusions;
- (q) extension of benefits;
- (r) discontinuance and replacement of policies;
- (s) unintentional lapse;
- (t) prohibitions against postclaim underwriting;
- (u) minimum standards for home health and community care benefits;
- (v) inflation protection;
- (w) incontestability period; and
- (x) tax consequences.
- (2) A group long-term care insurance policy must include a provision relating to conversion on termination of eligibility as described in 33-22-508 or include a provision for continuation of coverage that maintains coverage under the existing group policy if the coverage would otherwise terminate.
History: En. Sec. 5, Ch. 355, L. 1989; amd. Sec. 13, Ch. 416, L. 1997.