WILLIAM DONALD SCHAEFER, Governor Ch. 350
647.
(a) An insurer shall provide an applicant for long term care insurance with an
outline of coverage.
(b) The outline shall include:
(1) A description of the principal benefits and coverage provided in the
policy or contract;
(2) A statement of the principal exclusions, reductions, and limitations
contained in the policy;
(3) A statement of the renewal provisions, including any reservation in the
policy or contract of a right to change the schedule of premiums;
(4) A statement that the outline of coverage is a summary of the policy or
contract issued or applied for, and that the policy or contract should be consulted to
determine the governing contractual provisions;
(5) A STATEMENT OF THE TERMS UNDER WHICH THE POLICY OR
CERTIFICATE, OR BOTH, MAY BE CONTINUED IN FORCE OR DISCONTINUED,
INCLUDING ANY RESERVATION IN THE POLICY OF A RIGHT TO CHANGE PREMIUM.
CONTINUATION OR CONVERSION PROVISIONS OF GROUP COVERAGE SHALL BE
SPECIFICALLY DESCRIBED;
(6) A DESCRIPTION OF THE TERMS UNDER WHICH THE POLICY OR
CERTIFICATE MAY BE RETURNED AND PREMIUM REFUNDED; AND
(7) A BRIEF DESCRIPTION OF THE RELATIONSHIP OF COST TO CARE
BENEFITS.
(c) A certificate issued pursuant to group long term care insurance shall include:
(1) A description of the principal benefits and coverage provided in the
policy or contract;
(2) A statement of the principal exclusions, reductions, and limitations of
coverage contained in the policy or contract; and
(3) A statement that the group master policy or contract determines
governing contractual provisions.
647A.
(A) IF LONG-TERM CARE BENEFITS ARE PART OF A LIFE INSURANCE POLICY
OR RIDER, A POLICY SUMMARY SHALL BE DELIVERED AT THE TIME OF POLICY
DELIVERY.
(B) A POLICY SUMMARY REQUIRED TO BE DELIVERED UNDER SUBSECTION
(A) OF THIS SECTION SHALL INCLUDE:
(1) INFORMATION REQUIRED TO BE INCLUDED IN AN OUTLINE OF
COVERAGE UNDER § 647 OF THIS SUBTITLE;
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