§ 23-93-108 — Continuing care contracts - Minimum requirements

Arkansas § 23-93-108

• Jurisdiction: Arkansas
• Title: 23

Text

(a) A continuing care contract shall be written in clear and understandable language. (b) A continuing care contract shall, at a minimum: (1) Describe the facility's admission policies, including age, health status, and minimum financial requirements, if any; (2) Describe the health and financial conditions required for a person to continue to be a resident; (3) Describe the circumstances under which the resident will be permitted to remain in the facility in the event of possible financial difficulties of the resident; (4) (A) List the total consideration paid, including donations, entrance fee, subscription fees, periodic fees, and other fees paid or payable. (B) However, a provider cannot require a resident to transfer all his or her assets to the provider or community as a condition for providing continuing care, and the provider shall reserve his or her rights to charge periodic fees; (5) Describe in detail all items of service to be received by the resident such as food, shelter, medical care, nursing care, personal care services, and other health services and the time period during which such services will be provided; (6) Provide, as an addendum to the contract, a description of items of service, if any, which are available to the resident but which are not covered in the entrance or monthly fee; (7) Specify taxes and utilities, if any, that the resident must pay; (8) Specify that deposits or entrance fees paid by or for a resident shall be held in trust in a cash escrow pursuant to this subchapter; (9) State the terms under which a continuing care contract may be cancelled by the resident or the provider and the basis for establishing the amount of refund of the entrance fee, if any; (10) State the terms under which a continuing care contract is cancelled by the death of the resident and the basis for establishing the amount of refund, if any, of the entrance fee; (11) State when fees will be subject to periodic increases and what the policy for increases will be; (12) State the entrance fee and periodic fees that will be charged if the resident marries while living in the facility, the terms concerning the entry of a spouse to the facility, and the consequences if the spouse does not meet the requirements for entry; (13) State the rules of the provider then in effect and state the circumstances under which the provider claims to be entitled to have access to the resident's unit; (14) List the resident's and provider's respective rights and obligations as to any real or personal property of the resident transferred to or placed in the custody of the provider; (15) Describe the living quarters purchased by or assigned to the resident; (16) Provide under what conditions, if any, the resident may assign the use of a unit to another; (17) Include the policy and procedure with regard to changes in accommodations due to an increase or decrease in the number of persons occupying an individual unit; (18) State the conditions upon which the facility may sublet or relet a resident's unit; (19) State what fee adjustments, if any, will be made in the event of voluntary absence from the facility for an extended period of time by the resident; (20) Include the procedures to be followed when the provider temporarily or permanently changes the resident's accommodations, either within the facility or by transfer to a health facility; (21) If the facility includes a nursing facility, describe the admissions policies and what will occur if a nursing facility bed is not available at the time it is needed; (22) If the resident is offered a priority for nursing facility admission at a facility that is not owned by the continuing care facility, describe with which nursing facility the formal arrangement is made and what will occur if a nursing facility bed is not available at the time it is needed; (23) Include the policy and procedures for determining under what circumstances a resident will be considered incapable of independent living and will require a permanent move to a nursing facility; (24) Specify the types of insurance, if any, the resident must maintain, including Medicare, other health insurance, and property insurance; (25) Specify the circumstances, if any, under which the resident will be required to apply for Medicaid, public assistance, or any other public benefit programs; (26) State that the provider has filed a disclosure statement with the State Insurance Department and state the contents of the disclosure statement required by § 23-93-106(a)(3) ; and (27) State, in bold and conspicuous type, the following: "THIS CONTRACT IS GOVERNED BY THE CONTINUING CARE PROVIDER REGULATION ACT. THE PROVIDER HAS FILED A DISCLOSURE DOCUMENT WITH THE INSURANCE COMMISSIONER OF THE STATE OF ARKANSAS PRIOR TO OFFERING THIS CONTRACT. THE INSURANCE COMMISSIONER HAS NOT PASSED UPON THE VALIDITY OF THE INFORMATION FILED BY THE PROVIDER, DOES NOT MAKE ANY RECOMMENDATION WITH RESPECT TO THE FAIRNESS OF THE CHARGES MADE BY THE PROVIDER, HAS NOT CONDUCTED AN INDEPENDENT REVIEW OF THE FINANCIAL STRENGTH OF THE PROVIDER AND DOES NOT WARRANT THE ENFORCEABILITY OF ANY CONTRACT OFFERED BY THE PROVIDER. NO PROSPECTIVE RESIDENT SHOULD RELY UPON THE FACT THAT A FILING HAS BEEN MADE WITH THE COMMISSIONER IN MAKING THEIR DECISION. EACH PROSPECTIVE RESIDENT SHOULD CONSULT HIS OWN LEGAL AND FINANCIAL ADVISERS PRIOR TO ENTERING INTO ANY CONTRACT WITH THE PROVIDER. "

Legislative History

Amended by Act 2019, No. 315,§ 2782, eff. 7/24/2019. Acts 1987, No. 329, § 5.