31 Pa. Code Ch. 89a – Long-term Care Insurance Model Regulation | Midpage

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Pennsylvania Code

Chapter 89a

31 Pa. Code Ch. 89a

Long-term Care Insurance Model Regulation

89a.101Purpose.89a.102Applicability and scope.89a.103Definitions.89a.104Policy definitions.89a.105Policy practices and provisions.89a.106Unintentional lapse.89a.107Required disclosure provisions.89a.108Required disclosure of rating practices to consumers.89a.109Initial filing requirements.89a.110Prohibition against postclaims underwriting.89a.111Minimum standards for home health and community care benefits in long-term care insurance policies.89a.112Requirement to offer inflation protection.89a.113Requirements for application forms and replacement coverage.89a.114Reporting requirements.89a.115Licensing.89a.116Reserve standards.89a.117Loss ratio.89a.118Premium rate schedule increases.89a.119Filing requirement.89a.120Standards for marketing.89a.121Suitability.89a.122Prohibition against preexisting conditions and probationary periods in replacement policies or certificates.89a.123Nonforfeiture benefit requirement.89a.124Standards for benefit triggers.89a.125Additional standards for benefit triggers for qualified long-term care insurance contracts.89a.126Standard format outline of coverage.89a.127Requirement to deliver shopper’s guide.89a.128Penalties.89a.129Permitted compensation arrangements.