Rule 13. Long Term Care Insurance

• 054.00.13–1. Purpose.
• 054.00.13–2. Authority.
• 054.00.13–3. Applicability and Scope.
• 054.00.13–4. Definitions.
• 054.00.13–5. Policy Definitions.
• 054.00.13–6. Policy Practices and Provisions.
• 054.00.13–7. Unintentional Lapse.
• 054.00.13–8. Required Disclosure Provisions.
• 054.00.13–9. Required Disclosure of Rating Practices to Consumers.
• 054.00.13–10. Initial Filing Requirements.
• 054.00.13–11. Prohibition Against Post-Claims Underwriting.
• 054.00.13–12. Minimum Standards for Home Health and Community Care Benefits in Long-Term Care Insurance Policies.
• 054.00.13–13. Requirement to Offer Inflation Protection.
• 054.00.13–14. Requirements for Application Forms and Replacement Coverage.
• 054.00.13–15. Reporting Requirements.
• 054.00.13–16. Licensing and Producer Training Requirements.
• 054.00.13–17. Discretionary Powers of Commissioner.
• 054.00.13–18. Reserve Standards.
• 054.00.13–19. Loss Ratio.
• 054.00.13–20. Premium Rate Schedule Increases.
• 054.00.13–21. Filing Requirement.
• 054.00.13–22. Filing Requirements for Advertising.
• 054.00.13–23. Standards for Marketing.
• 054.00.13–24. Suitability.
• 054.00.13–25. Prohibition Against Preexisting Conditions and Probationary Periods in Replacement Policies or Certificates.
• 054.00.13–26. Availability of New Services or Providers.
• 054.00.13–27. Right to Reduce Coverage and Lower Premiums.
• 054.00.13–28. Nonforfeiture Benefit Requirement.
• 054.00.13–29. Standards for Benefit Triggers.
• 054.00.13–30. Additional Standards for Benefit Triggers for Qualified Long-Term Care Insurance Contracts.
• 054.00.13–31. Standard Format Outline of Coverage.
• 054.00.13–32. Requirement to Deliver Shopper's Guide.
• 054.00.13–33. Penalties.
• 054.00.13–34. Effective Date.
• 054.00.13 Appendix A. Recission Reporting Form for Long-Term Care Policies.
• 054.00.13 Appendix B. Long-Term Care Insurance Personal Worksheet.
• 054.00.13 Appendix C. Things You Should Know Before You Buy Long-Term Care Insurance.
• 054.00.13 Appendix D. Long-Term Care Insurance Suitability Letter.
• 054.00.13 Appendix E. Claims Denial Reporting Form Long-Term Care Insurance.
• 054.00.13 Appendix F. Long-Term Care Insurance Potential Rate Increase Disclosure Form.
• 054.00.13 Appendix G. Long-Term Care Insurance Replacement and Lapse Reporting Form.