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.
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.
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.
