Rulemaking.

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  • (1) shall makes rules:
    • (a) in the event of a substantial rate increase, promoting premium adequacy and protecting the policy holder;
    • (b) establishing minimum standards for limited long-term care insurance marketing practices, producer compensation, producer testing, independent review of benefit determinations, penalties, and reporting practices;
    • (c) prescribing a standard format, including style, arrangement, and overall appearance of an outline of coverage;
    • (d) prescribing the content of an outline of coverage, in accordance with the requirements described in Subsection 31A-22-2004(5)(b);
    • (e) specifying the type of nonforfeiture benefits offered as part of a limited long-term care insurance policy or certificate;
    • (f) establishing the standards of nonforfeiture benefits; and
    • (g) establishing the rules regarding contingent benefits upon lapse, including:
      • (i) a determination of the specified period of time during which a contingent benefit upon lapse will be available; and
      • (ii) the substantial premium rate increase that triggers a contingent benefit upon lapse as described in Subsection 31A-22-2005(1); and
  • (2) may make rules establishing loss-ratio standards for limited long-term care insurance policies.




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