§431:10H-109 - Prior hospitalization; prior institutionalization.
[§431:10H-109] Prior hospitalization; priorinstitutionalization. (a) No long-term care insurance policy may bedelivered or issued for delivery in this State if the policy:
(1) Conditions eligibility for any benefits on aprior hospitalization requirement;
(2) Conditions eligibility for benefits provided inan institutional care setting on the receipt of a higher level of institutionalcare; or
(3) Conditions eligibility for any benefits otherthan waiver of premium, post-confinement, post-acute care, or recuperativebenefits on a prior institutionalization requirement.
(b) A long-term care insurance policycontaining post-confinement, post-acute care, or recuperative benefits shallclearly label, in a separate paragraph of the policy or certificate, entitled"Limitations or Conditions on Eligibility for Benefits", suchlimitations or conditions including any required number of days of confinement.
(c) A long-term care insurance policy thatconditions eligibility of non-institutional benefits on the prior receipt ofinstitutional care shall not require a prior institutional stay of more thanthirty days. [L 1999, c 93, pt of §2]