Montana Code Annotated 2009

Clickable Image


     33-22-1113. Disclosure and performance standards for long-term care insurance. (1) The commissioner may by rule adopt standards for full and fair disclosure, setting forth the manner, content, and disclosures required to be made in a long-term care insurance policy, including but not limited to:
     (a) terms of renewability;
     (b) initial and subsequent conditions of eligibility;
     (c) nonduplication of coverage provisions;
     (d) coverage of dependents;
     (e) preexisting conditions;
     (f) termination of insurance;
     (g) continuation or conversion;
     (h) probationary periods;
     (i) limitations;
     (j) exceptions;
     (k) reductions;
     (l) elimination periods;
     (m) requirements for replacement;
     (n) recurrent conditions;
     (o) definition of terms;
     (p) prohibitions on limitations and exclusions;
     (q) extension of benefits;
     (r) discontinuance and replacement of policies;
     (s) unintentional lapse;
     (t) prohibitions against postclaim underwriting;
     (u) minimum standards for home health and community care benefits;
     (v) inflation protection;
     (w) incontestability period; and
     (x) tax consequences.
     (2) A group long-term care insurance policy must include a provision relating to conversion on termination of eligibility as described in 33-22-508 or include a provision for continuation of coverage that maintains coverage under the existing group policy if the coverage would otherwise terminate.

     History: En. Sec. 5, Ch. 355, L. 1989; amd. Sec. 13, Ch. 416, L. 1997.

Previous Section MCA Contents Part Contents Search Help Next Section