Sec. 5. (a) As used in this chapter, "long term care insurance policy" means an insurance policy providing coverage for at least twelve (12) consecutive months for each covered person on an expense incurred, indemnity, prepaid, or other basis for one (1) or more necessary diagnostic, preventive, therapeutic, rehabilitative, maintenance, or personal care services provided in a setting other than an acute care wing of a hospital.
(b) The term includes the following:
(1) A policy advertised, marketed, or offered as long term care insurance.
(2) A group or individual annuity, a life insurance policy, or riders that provide directly or supplement long term care insurance.
(3) A policy or rider that provides for payment of benefits based upon cognitive impairment or the loss of functional capacity.
(c) The term does not include the following:
(1) An insurance policy that is offered primarily to provide basic hospital expense coverage, basic medical-surgical expense coverage, hospital confinement indemnity coverage, major medical expense coverage, disability income protection coverage, accident only coverage, specified disease or specified accident coverage, comprehensive coverage, catastrophic coverage, or limited benefit health coverage.
(2) A life insurance policy that accelerates the death benefit specifically for terminal illness, a medical condition requiring extraordinary medical intervention, or a permanent institutional confinement, and that provides the option of a lump sum payment for those benefits and in which neither the benefits nor the eligibility for the benefits is conditioned upon the receipt of long term care.
(3) An insurance policy that is offered primarily to provide basic Medicare supplemental coverage (as defined under IC 27-8-13).
As added by P.L.275-1987, SEC.1. Amended by P.L.114-1991, SEC.9.
Structure Indiana Code
Article 8. Life, Accident, and Health
Chapter 12. Long Term Care Insurance
27-8-12-1. "Applicant" Defined
27-8-12-2. "Certificate" Defined
27-8-12-3. "Certificate Holder" Defined
27-8-12-4. "Insurance Policy" Defined
27-8-12-4.5. "Long Term Care Facility" Defined
27-8-12-5. "Long Term Care Insurance Policy" Defined
27-8-12-6. Compliance With Statutory Requirements
27-8-12-7.1. Qualification of Long Term Care Policies; Rules
27-8-12-8. Loss Ratio Standards Rule
27-8-12-9. Termination of Policy on Grounds of Age or Deteriorated Health
27-8-12-10. "Preexisting Condition" Defined; Exclusion of Coverage; Limitations
27-8-12-10.6. Conditions on Eligibility for Benefits; Restrictions
27-8-12-11. Establishment of New Waiting Period
27-8-12-12. No Obligation Return Period; Notice
27-8-12-13. Direct Response Solicitation Issued Policies; No Obligation Return Period; Notice
27-8-12-14. Outline of Coverage; Contents
27-8-12-14.5. Policy Summary; Requirements
27-8-12-15. Group Policy Certificate; Contents
27-8-12-16. Application of General Insurance Law
27-8-12-17. Group Policies Issued in Another State; Requirements