Sec. 7. (a) The insurance commissioner shall adopt rules under IC 4-22-2 establishing standards of full and fair disclosure concerning long term care insurance policies. The standards must require disclosure of information concerning the following:
(1) The sale of the policies.
(2) Terms of renewability.
(3) Initial and subsequent terms of eligibility.
(4) Nonduplication of coverage provisions.
(5) Coverage of dependents.
(6) Preexisting conditions.
(7) Termination of insurance coverage.
(8) Probationary periods.
(9) Limitations on coverage.
(10) Exceptions to coverage.
(11) Reductions from coverage.
(12) Elimination periods.
(13) Requirements for replacement.
(14) Recurrent conditions.
(15) Definitions of terms.
(16) Continuation or conversion of coverage.
(b) The insurance commissioner shall adopt rules under IC 4-22-2 to establish minimum standards concerning:
(1) marketing practices;
(2) insurance producer continuing education;
(3) penalties; and
(4) reporting practices;
for long term care insurance.
(c) Rules adopted by the insurance commissioner under this section must:
(1) recognize the unique, developing, and experimental nature of long term care insurance; and
(2) where necessary or appropriate, recognize the distinctions between group insurance policies and individual insurance policies.
As added by P.L.275-1987, SEC.1. Amended by P.L.114-1991, SEC.10; P.L.178-2003, SEC.65.
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