Louisiana Administrative Code
Title 37 - INSURANCE Part
Part XIII - Regulations
Chapter 19 - Regulation 46-Long-Term Care Insurance
Section XIII-1911 - Unintentional Lapse
Current through Register Vol. 50, No. 9, September 20, 2024
A. Each insurer offering long-term care insurance shall, as a protection against unintentional lapse, comply with the following.
"Protection against unintended lapse. I understand that I have the right to designate at least one person other than myself to receive notice of lapse or termination of this long-term care insurance policy for nonpayment of premium. I understand that notice will not be given until 30 days after a premium is due and unpaid. I elect NOT to designate a person to receive this notice."
B. Reinstatement. In addition to the requirement in §1911. A 1, a long-term care insurance policy or certificate shall include a provision which provides for reinstatement of coverage, in the event of lapse, if the insurer is provided proof that the policyholder or certificateholder was cognitively impaired or had a loss of functional capacity before the grace period contained in the policy expired. This option shall be available to the insured, if requested within five months after termination, and shall allow for the collection of past due premium where appropriate. The standard of proof of cognitive impairment or loss of functional capacity shall not be more stringent than the benefit eligibility criteria on cognitive impairment or the loss of functional capacity contained in the policy and certificate.
AUTHORITY NOTE: Promulgated in accordance with R.S. 22:1736(A), 22:1736(E), 22:1738(C), 22:1739, and 22:1740.