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Session Laws, 1993
Volume 772, Page 1931   View pdf image
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WILLIAM DONALD SCHAEFER, Governor                            Ch. 350

647.

(a) An insurer shall provide an applicant for long term care insurance with an
outlin
e 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 th
e 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 gov
erning 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;

- 1931 -

 

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Session Laws, 1993
Volume 772, Page 1931   View pdf image
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