Florida Administrative Code
69 - DEPARTMENT OF FINANCIAL SERVICES
69O - OIR - Insurance Regulation
Chapter 69O-157 - LONG-TERM CARE INSURANCE
Section 69O-157.017 - Prior Institutionalization

Universal Citation: FL Admin Code R 69O-157.017

Current through Reg. 50, No. 187; September 24, 2024

(1) No contract issued as a long-term care insurance policy shall condition any benefits upon prior institutionalization for a total period of time longer than three days.

(2) If a contract provides benefits only following institutionalization of three days, or less, then benefits may not be conditioned upon admission to a facility for the same or related condition within a period of less than 30 days after discharge from the prior institution.

(3) An entity that advertises, markets, or solicits long-term care coverage in this state which provides benefits only following institutionalization shall also offer to each policyholder, as part of the application, a contract which does not require prior institutionalization as a condition to any benefit.

Rulemaking Authority 624.308(1), 627.9407(1) FS. Law Implemented 624.307(1), 627.9407(5) FS.

New 5-17-89, Formerly 4-81.017, 4-157.017.

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