Connecticut Administrative Code
Title 38a - Insurance Department
528 - Group Long-Term Care Insurance
Section 38a-528-9 - Standards for marketing
Universal Citation: CT Reg of State Agencies 38a-528-9
Current through September 9, 2024
(a) Every insurer, fraternal benefit society, hospital service corporation, medical service corporation or health care center marketing long-term care insurance coverage in this state, directly or through its producers shall:
(1) Establish marketing procedures to assure
that any comparison of policies by its agents or other producers will be fair
and accurate.
(2) Establish
marketing procedures to assure excessive insurance is not sold or
issued.
(3) Display prominently by
type, stamp or other appropriate means on the first page of the outline of
coverage and certificate the following:
"Notice to buyer: This policy may not cover all of the costs associated with long-term care incurred by the buyer during the period of coverage. The buyer is advised to review carefully all policy limitations."
(4) Inquire
and otherwise make every reasonable effort to identify whether a prospective
applicant or enrollee for long-term care insurance already has accident and
sickness or long-term care insurance and the types and amounts of any such
insurance.
(5) Every insurer or
other entity marketing long-term care insurance shall establish auditable
procedures for verifying compliance with this subsection.
(6) Provide, at solicitation, written notice
to the prospective certificateholder of the availability of any insurance
counselling program that may be provided or approved by any state agency for
this purpose, together with the name, address and telephone number of such
program.
(b) In addition to the practices prohibited in Sections 38a-815 to 38a-831, inclusive, of the General Statutes the following acts and practices are prohibited:
(1) Twisting. Knowingly making any misleading
representation or incomplete or fraudulent comparison of any insurance policies
or insurers for the purpose of inducing, or tending to induce, any person to
lapse, forfeit, surrender, terminate, retain, pledge, assign, borrow on or
convert any insurance policy or to take out a policy of insurance with another
insurer.
(2) High pressure tactics.
Employing any method of marketing having the effect of or tending to induce the
purchase of insurance through force, fright, threat, whether explicit or
implied, or undue pressure to purchase or recommend the purchase of
insurance.
(3) Cold lead
advertising. Making use directly or indirectly of any method of marketing which
fails to disclose in a conspicuous manner that a purpose of the method of
marketing is solicitation of insurance and that contact will be made by a
producer or insurance company.
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