33-22-1114. Prohibited practices and policy provisions. (1) An insurance company may not issue a refund to a person other than the owner of the policy or certificate.
(2) A long-term care insurance policy may not:
(a) be canceled, nonrenewed, or otherwise terminated on any grounds other than the insured's or certificate holder's failure to pay the premium;
(b) contain a provision establishing a new waiting period if 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; or
(c) provide coverage for only skilled nursing care or provide substantially more coverage for skilled nursing care in a facility than coverage for lower levels of care.
History: En. Sec. 6, Ch. 355, L. 1989; amd. Sec. 2, Ch. 240, L. 1995; amd. Sec. 14, Ch. 416, L. 1997.
Structure Montana Code Annotated
Title 33. Insurance and Insurance Companies
Chapter 22. Disability Insurance
Part 11. Long-Term Care Insurance Act
33-22-1103. Compliance required
33-22-1105. and 33-22-1106 reserved
33-22-1108. Preexisting condition -- definition
33-22-1109. and 33-22-1110 reserved
33-22-1111. Outline of coverage
33-22-1112. Required content for certificate
33-22-1113. Disclosure and performance standards for long-term care insurance
33-22-1114. Prohibited practices and policy provisions
33-22-1115. Prior hospitalization or institutionalization
33-22-1116. Nonforfeiture benefits -- offer requirement
33-22-1117. Appropriate sale criteria
33-22-1119. Right to return policy -- free look -- refunds upon denial of application
33-22-1120. Extraterritorial jurisdiction
33-22-1122. Policy waiting periods not cumulative
33-22-1123. Delivery of policy -- policy summary -- monthly reports
33-22-1126. Additional standards for qualified long-term care contracts -- definitions
33-22-1127. Incontestability period