TITLE 53. SOCIAL SERVICES AND INSTITUTIONS

CHAPTER 6. HEALTH CARE SERVICES

Part 8. Long-Term Care Insurance Partnerships

Rulemaking And Certification Of Policies By Commissioner And Department

53-6-804. Rulemaking and certification of policies by commissioner and department. (1) The commissioner and the department may by rule adopt requirements for certification of long-term care insurance policies and certificates. These requirements may include but are not limited to:

(a) minimum levels and durations of benefits;

(b) mandatory inflation protection;

(c) mandatory home and community care coverage;

(d) case management; and

(e) procedures for the insured to appeal a denial of benefits.

(2) The commissioner and the department shall review long-term care insurance policies and certificates to determine whether policies and certificates meet the requirements for certification pursuant to this section.

History: En. Sec. 4, Ch. 195, L. 1997.