Connecticut Administrative Code
Title 38a - Insurance Department
528 - Group Long-Term Care Insurance
Section 38a-528-6 - Required disclosure provisions

Current through September 9, 2024

(a) Continuation. Group long-term care certificates shall contain a provision, appropriately captioned, which describes how the coverage may be continued or converted.

(b) Riders and Endorsements. Except for riders or endorsements by which the insurer effectuates a request made in writing by the insured or exercises a specifically reserved right under a long-term care certificate, all riders or endorsements added to a long-term care certificate after date of issue or at reinstatement or renewal which reduce or eliminate benefits or coverage shall require a signed acceptance by the insured. Any rider or endorsement added to a long-term care certificate after date of issue which increases benefits or coverage with a concomitant increase in premium shall be agreed to in writing signed by the insured, except if the increased benefits or coverage is required by law. Where a separate additional premium is charged for benefits provided in connection with riders or endorsements, such premium charge shall be set forth in the certificate, rider or endorsement.

(c) Limitations. If a long-term care insurance policy contains any limitation with respect to pre-existing conditions, such limitations shall appear as a separate paragraph of the certificate and shall be labeled "PRE-EXISTING CONDITIONS LIMITATION."

(d) Other Limitations or Conditions on Eligibility for Benefits. A long-term care insurance certificate shall set forth a description of any limitations or conditions for eligibility, including any required number of days of confinement, in a separate paragraph labeled "Limitations or Conditions on Eligibility for Benefits."

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