Chapter 68: NURSING HOME CARE AND LONG-TERM CARE INSURANCE POLICIES
§5054. Certification by superintendent
1.Filing of form.
Any insurer, nonprofit hospital or medical service organization, or nonprofit health care plan may, at the time it files
a policy or contract for approval for issuance or delivery in the State, or at any time thereafter, request that the superintendent
certify the policy or contract as a long-term care policy within the meaning of section 5051.
Within 60 days of receipt of a request for certification, the superintendent shall:
A. Certify in writing that the policy or contract complies with this section; [1989, c. 556, Pt. B, §4 (NEW).]
B. Deny the request in writing, stating the reasons for denial; or [1989, c. 556, Pt. B, §4 (NEW).]
C. Notify the insurer or nonprofit hospital or medical service organization or nonprofit health care plan, in writing, that
an insufficient basis exists for determining whether a certification should be made, indicating in what respects the request
was insufficient. [1997, c. 604, Pt. D, §6 (AMD).]
1997, c. 604, Pt. D, §6 (AMD)
2.Standards for compliance.
The superintendent shall certify a policy or contract submitted for review under this section as a long-term care policy
if the superintendent finds that the policy or contract:
A. Is a long-term care policy within the meaning of section 5051; and [1989, c. 556, Pt. B, §4 (NEW).]
B. Complies with all standards applicable to long-term care policies as set forth in this chapter and in chapters 27, 33 and
35 and in rules adopted pursuant to any of those chapters by the superintendent. Waivers granted under the rules shall be
taken into consideration. [1989, c. 556, Pt. B, §4 (NEW).]
1989, c. 556, Pt. B, §4 (NEW)
1989, c. 556, §B4 (NEW).
1997, c. 604, §D6 (AMD).
Data for this page extracted on 10/16/2012 08:29:52.
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