No long-term care insurance policy may:
1. Be cancelled, nonrenewed, or otherwise terminated on the grounds of the age or the deterioration of the mental or physical health of the insured individual or certificateholder;
2. Contain a provision establishing any new waiting period in the event existing coverage is converted to or replaced by a new or other form within the same company, except with respect to an increase in benefits voluntarily selected by the insured individual or group policyholder;
3. Provide coverage for skilled nursing care only or provide significantly more coverage for skilled care in a facility than coverage for lower levels of care;
4. Be issued based on medical or health status when the policy is issued by an agent or third-party administrator pursuant to the underwriting authority granted to the agent or third-party administrator by the insurer; or
5. Provide that an insurer who has paid benefits under a long-term care insurance policy or certificate may recover the benefit payments in the event that the policy or certificate is rescinded.
1987, c. 586; 1990, c. 285; 2000, c. 559.
Structure Code of Virginia
Chapter 52 - Long-Term Care Insurance
§ 38.2-5201. What laws applicable
§ 38.2-5202. Promulgation of regulations; standards for policy provisions
§ 38.2-5202.1. Refund of premium for cancellation or termination of policy
§ 38.2-5203. Prohibited provisions
§ 38.2-5204. Preexisting conditions
§ 38.2-5205. Prior institutionalization
§ 38.2-5207.1. Disclosure; life insurance policies
§ 38.2-5207.2. Long-term care benefits; monthly report