§431:10H-109 - Prior hospitalization; prior institutionalization.
[§431:10H-109] Prior hospitalization; prior
institutionalization. (a) No long-term care insurance policy may be
delivered or issued for delivery in this State if the policy:
(1) Conditions eligibility for any benefits on a
prior hospitalization requirement;
(2) Conditions eligibility for benefits provided in
an institutional care setting on the receipt of a higher level of institutional
care; or
(3) Conditions eligibility for any benefits other
than waiver of premium, post-confinement, post-acute care, or recuperative
benefits on a prior institutionalization requirement.
(b) A long-term care insurance policy
containing post-confinement, post-acute care, or recuperative benefits shall
clearly label, in a separate paragraph of the policy or certificate, entitled
"Limitations or Conditions on Eligibility for Benefits", such
limitations or conditions including any required number of days of confinement.
(c) A long-term care insurance policy that
conditions eligibility of non-institutional benefits on the prior receipt of
institutional care shall not require a prior institutional stay of more than
thirty days. [L 1999, c 93, pt of §2]