Chapter 68: NURSING HOME CARE AND LONG-TERM CARE INSURANCE POLICIES
§5056. Standards for marketing
Every insurer, health care service plan or other entity marketing nursing home care, home health care or long-term care insurance
coverage in this State, directly or through its producers, shall: [1997, c. 604, Pt. D, §7 (AMD).]
1.Policy comparison. Establish marketing procedures to ensure that any comparison of policies by its agents or other producers is fair and accurate;
[
1991, c. 200, Pt. C, §3 (NEW)
.]
2.Excessive insurance. Establish marketing procedures to ensure that excessive insurance is not sold or issued. The procedures must include a
specific standard for persons covered by Medicaid;
[
1991, c. 200, Pt. C, §3 (NEW)
.]
3.Replacement policy. Establish marketing procedures that set forth a mechanism or formula for determining whether a replacement policy or certificate
contains benefits clearly and substantially greater than the benefits under the replaced policy; and
[
1991, c. 200, Pt. C, §3 (NEW)
.]
4.Compliance procedures. Establish auditable procedures for verifying compliance with the standards set out in this section.
[
1991, c. 200, Pt. C, §3 (NEW)
.]
SECTION HISTORY
1991, c. 200, §C3 (NEW).
1997, c. 604, §D7 (AMD).
Data for this page extracted on 11/09/2009 11:20:25.