ARTICLE 3. General Provisions [10232. - 10233.8.]

Article 3 added by Stats. 1988, Ch. 1342, Sec. 1.

§§ 10232–10233.8 · 26 sections

§ 10232 (a) No group long-term care insurance coverage may be offered or sold to a resident of this state under a group policy issued in another state to a group…
§ 10232.1 (a) Every policy that is intended to be a qualified long-term care insurance contract as provided by Public Law 104-191 shall be identified as such by…
§ 10232.2 (a) Every insurer that offers policies or certificates that are intended to be federally qualified long-term care insurance contracts, including riders to life…
§ 10232.3 (a) All applications for long-term care insurance except that which is guaranteed issue, shall contain clear, unambiguous, short, simple questions designed to…
§ 10232.4 (a) No long-term care insurance policy or certificate other than a group policy or certificate, as described in subdivision (a) of Section 10231.6, shall use a…
§ 10232.5 On or after January 1, 1990, no long-term care insurance policy may be delivered or issued for delivery in this state which does any of the following: (a)…
§ 10232.6 The commissioner may adopt regulations establishing loss ratio standards for long-term care insurance policies provided that a specific reference to long-term…
§ 10232.65 In addition to any other requirements of law, the following shall apply to a long-term care insurance policy: (a) The insurer shall not require an amount…
§ 10232.7 (a) An applicant for a long-term care insurance policy or a certificate, other than an applicant for a certificate issued under a group long-term care…
§ 10232.8 (a) In every long-term care policy or certificate that is not intended to be a federally qualified long-term care insurance contract and provides home care…
§ 10232.81 Every long-term care policy, certificate, or rider that purports to provide benefits of home care, community-based services, and residential care facility…
§ 10232.9 (a) Every long-term care policy or certificate that purports to provide benefits of home care or community-based services, shall provide at least the…
§ 10232.92 Every long-term care policy or certificate covering confinement in a nursing facility shall also include a provision with the following features: (a) Care in a…
§ 10232.93 Every long-term care policy or certificate shall define the maximum lifetime benefit as a single dollar amount that may be used interchangeably for any home-…
§ 10232.95 Every long-term care policy or certificate that provides reimbursement for care in a nursing facility shall cover and reimburse for per diem expenses, as well…
§ 10232.96 When a policy or certificate holder of an insurance contract issued prior to December 31, 1996, requests a material modification to the contract as defined by…
§ 10232.97 In every long-term care policy or certificate that covers care in a nursing facility, the threshold establishing eligibility for nursing facility care shall be…
§ 10233 Precedent to the payment of benefits for any care covered by the terms of the policy, any insurer offering long-term care insurance as described in Section…
§ 10233.2 Long-term care insurance may not: (a) Be canceled, nonrenewed, or otherwise terminated on the grounds of the age or the deterioration of the mental or physical…
§ 10233.25 No long-term care policy or certificate that is issued, amended, renewed, or delivered on and after January 1, 2002, shall contain a provision that prohibits…
§ 10233.3 If a policy or certificate replaces another long-term care policy or certificate, the replacing insurer shall waive any time periods applicable to preexisting…
§ 10233.4 No long-term care insurance benefits may be reduced because of out-of-pocket expenditures by the insured or on behalf of the insured by a family member of the…
§ 10233.5 (a) An outline of coverage shall be delivered to a prospective applicant for long-term care insurance at the time of initial solicitation through means which…
§ 10233.6 A certificate issued pursuant to a group long-term care insurance policy, which policy is delivered or issued for delivery in this state, shall include all of…
§ 10233.7 No policy may be advertised, marketed, or offered as long-term care or nursing home insurance unless it complies with this chapter.
§ 10233.8 (a) A long-term care insurance policy or certificate issued, amended, renewed, or delivered on or after January 1, 2020, shall not do any of the following…