Outline of coverage and buyer's guide

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    (a)    (1)    A carrier shall provide to each applicant an outline of coverage and buyer’s guide.

        (2)    The carrier shall deliver the outline of coverage and buyer’s guide:

            (i)    in the case of solicitation by the carrier or insurance producer of the carrier, before the presentation of an application or enrollment form; and

            (ii)    in the case of direct response solicitation, with the application or enrollment form.

    (b)    The outline of coverage shall include:

        (1)    a description of the principal benefits and coverage provided in the policy or contract;

        (2)    a statement of the principal exclusions, reductions, and limitations in the policy or contract;

        (3)    a statement of the renewal provisions, including any reservation in the policy or contract of a right to change the schedule of premiums;

        (4)    a statement that the outline of coverage is a summary of the policy or contract issued or applied for and the policy or contract should be consulted to determine the governing contractual provisions; and

        (5)    any expected premium increases or additional premiums to pay for automatic or optional benefit increases, including a reasonable hypothetical or graphic demonstration of the potential premiums that the applicant will need to pay at age 75 for benefit increases.

    (c)    The buyer’s guide shall include information about buying a policy of long–term care insurance, including a reference to the right of the buyer to cancel a policy during the first 30 days after the policy is delivered.

    (d)    A carrier shall provide an applicant with a graphic comparison, over a period of at least 20 years, of the benefit levels of a policy that increases benefits over the policy or certificate period compared to the benefit levels of a policy that does not increase benefits.


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