Utah § 31A-22-1407 Restricted conditional terms.

Utah Statutes

§ 31A-22-1407 — Restricted conditional terms.

Utah § 31A-22-1407

Title 31AInsurance Code

Ch. 31A-22Contracts in Specific Lines

Part 31A-22-14Long-Term Care Insurance Standards

This text of Utah § 31A-22-1407 (Restricted conditional terms.) is published on Counsel Stack Legal Research, covering Utah primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Utah Code Ann. § 31A-22-1407 (2026).

Text

(1)A long-term care insurance policy may not contain a provision that conditions eligibility:

(1)(a) for any benefits on a prior hospitalization requirement;

(1)(b) for benefits provided in an institutional care setting on the receipt of a higher level of institutional care; or

(1)(c) for any benefits on a prior institutionalization requirement except for eligibility for:

(1)(c)(i) waiver of premium;

(1)(c)(ii) post confinement;

(1)(c)(iii) post-acute care; or

(1)(c)(iv) recuperative benefits.

(2)A long-term care insurance policy containing post confinement, post-acute care, or recuperative benefits shall clearly label the limitations or conditions, including any required number of days of confinement in a separate paragraph of the policy or certificate that is entitled "Limitations or

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(1) A long-term care insurance policy may not contain a provision that conditions eligibility:

(1)(a) for any benefits on a prior hospitalization requirement;
(1)(b) for benefits provided in an institutional care setting on the receipt of a higher level of institutional care; or
(1)(c) for any benefits on a prior institutionalization requirement except for eligibility for:
(1)(c)(i) waiver of premium;
(1)(c)(ii) post confinement;
(1)(c)(iii) post-acute care; or
(1)(c)(iv) recuperative benefits.
(2) A long-term care insurance policy containing post confinement, post-acute care, or recuperative benefits shall clearly label the limitations or conditions, including any required number of days of confinement in a separate paragraph of the policy or certificate that is entitled "Limitations or Conditions on Eligibility for Benefits."
(3) A long-term care insurance policy or rider that conditions eligibility of noninstitutional benefits on the prior receipt of institutional care may not require a prior institutional stay of more than 30 days.