Establishment of New Waiting Period

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Sec. 11. (a) A long term care insurance policy may not:

(1) contain a provision establishing a new waiting period if an existing policy is converted to or replaced by a new form issued by the same insurer, except in the case of an increase in benefits voluntarily selected by the insured individual or group policyholder;

(2) be canceled, nonrenewed, or otherwise terminated on the grounds of age or the deterioration of the mental or physical health of the insured individual or certificate holder;

(3) provide coverage for skilled nursing care only; or

(4) provide significantly more coverage for skilled care than coverage for a lower level of care.

(b) Subsection (a) does not prohibit an insurer from voluntarily waiving any authorized waiting period.

As added by P.L.275-1987, SEC.1. Amended by P.L.114-1991, SEC.14.


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