Denial of claims

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If a claim under a long-term care insurance contract is denied, the issuer shall, within 60 days of the date of a written request by the policyholder or certificate holder, or a representative thereof:

(1) Provide a written explanation of the reasons for the denial; and

(2) Make available all information directly related to the denial.

(May 23, 2000, D.C. Law 13-121, § 10a; as added Oct. 1, 2002, D.C. Law 14-190, § 502(c), 49 DCR 6968.)


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