- (1) If an application for a long-term care insurance policy is approved, the issuer shall deliver the policy to the applicant or policyholder not later than 30 days after the date of approval.
(2)
- (a) At the time of delivery of an individual life insurance policy that provides long-term care benefits within the policy or by rider, a policy summary must be provided to the insured.
- (b) In the case of direct response solicitations, the insurer shall deliver the policy summary upon the applicant's request, and whether or not a request is made, a policy summary must be delivered not later than at the time the policy is delivered.
(c) In addition to complying with any other applicable requirements, the summary must include:
- (i) an explanation of how the long-term care benefit interacts with other components of the policy, including deductions from death benefits;
- (ii) an illustration of the amount of benefit, the length of benefit, and the guaranteed lifetime benefit, if any, for each covered person;
- (iii) any exclusions, reductions, and limitations on benefits of long-term care;
- (iv) a statement that any long-term care inflation protection option required by the Administrative Rules of Montana is or is not available under this policy;
(d) If applicable to the policy type, the summary must also include:
- (i) a disclosure of the effects of other exercising rights under the policy;
- (ii) a disclosure of guarantees related to long-term care costs of insurance charges; and
- (iii) current and projected maximum lifetime benefits.
- (3) The required provisions of the policy summary may be incorporated into a basic illustration required to be delivered in accordance with administrative rules or into the life insurance policy summary.
(4) Any time a long-term care benefit funded through a life insurance vehicle by the acceleration of the death benefits is in benefit payment status, a monthly report must be provided to the policyholder. The report must include:
- (a) any long-term care benefits paid out during the month;
- (b) an explanation of any changes in the policy, such as to death benefits or cash values, due to long-term care benefits being paid out; and
- (c) the amount of long-term care benefits existing or remaining.
History: En. Sec. 47, Ch. 416, L. 1997; amd. Sec. 10, Ch. 32, L. 2007.