§ 27-8-12-14 — Outline of coverage; contents

(a) The insurer shall deliver an outline of the
coverage provided by an individual long term care insurance policy to
the prospective applicant at the time of initial solicitation through
means that prominently direct the attention of the recipient to the
document and the document's purpose.
(b) The commissioner shall prescribe a standard format regarding:
(1) style;
(2) arrangement;
(3) overall appearance; and
(4) content;
for an outline of coverage.
(c) An insurance producer who solicits a long term care insurance
policy shall deliver the outline of coverage before the presentation of
an application or enrollment form.
(d) The outline of coverage must be presented in conjunction with
any application or enrollment form when there is a direct response
solicitation of long term care insurance.
(e) An outline of coverage required under this section must include
the following:
(1) A description of the principal benefits and coverage provided
in the policy.
(2) A statement of the principal exclusions, reductions, and
limitations set forth in the policy.
(3) A statement of the policy's renewal provisions, including any
reservation by the insurer of a right to change premiums.
(4) A statement that the outline of coverage is a summary of the
policy issued or applied for, and that the policy should be
consulted to determine the exact terms of the coverage provided
by the policy.
(5) A description of the terms under which the policy may be
returned and the premium refunded.
(6) A brief description of the relationship of the cost of care and
benefits.
(7) A statement of the terms under which the policy or certificate
may continue or be discontinued, including any reservation in the
policy of the right to change the premium.
(8) A specific statement of the provisions for continuation or
conversion of group coverage.

Legislative History

As added by P.L.275-1987, SEC.1. Amended by P.L.114-1991, SEC.16; P.L.178-2003, SEC.66.