33-22-1121. Rules. The commissioner may adopt rules necessary to implement this part, including but not limited to rules that:
(1) establish loss ratio standards for long-term care insurance policies;
(2) promote premium adequacy and protect the policyholder in the event of substantial rate increases;
(3) establish minimum standards for insurance producer training, marketing practices, compensation, and testing;
(4) establish penalties and reporting practices for long-term care insurance;
(5) specify, with respect to nonforfeiture benefits and contingent benefits:
(a) the type or types of nonforfeiture benefits to be offered as part of long-term care insurance policies;
(b) the standards for nonforfeiture benefits;
(c) the rules regarding contingent benefits upon lapse, including:
(i) a determination of the specified period of time during which a contingent benefit upon lapse will be available;
(ii) the substantial premium rate increase that triggers a contingent benefit upon lapse as described in 33-22-1116; and
(d) the types of appropriate sale criteria to be communicated at the time of application;
(6) establish a requirement for the mandatory triggering of policy benefits based upon the number of activities of daily living that an individual is capable or incapable of performing; and
(7) are necessary to implement a determination made by the secretary of health and human services pursuant to 45 CFR, parts 160 and 164, as to who is a licensed health care practitioner.
History: (1)En. Sec. 14, Ch. 355, L. 1989; (2)En. Sec. 9, Ch. 355, L. 1989; amd. Sec. 6, Ch. 240, L. 1995; amd. Sec. 16, Ch. 416, L. 1997; amd. Sec. 9, Ch. 32, L. 2007.
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