State Codes and Statutes

Statutes > Virginia > Title-38-2 > Chapter-52 > 38-2-5200

§ 38.2-5200. Definitions.

As used in this chapter:

"Applicant" means in the case of an individual long-term care insurancepolicy, the person who seeks to contract for such benefits, or in the case ofa group long-term care insurance policy, the proposed certificateholder.

"Certificate" means any certificate or evidence of coverage issued under agroup long-term care insurance policy, which policy has been delivered orissued for delivery in this Commonwealth.

"Group long-term care insurance" means a long-term care insurance policydelivered or issued for delivery in this Commonwealth to any group whichcomplies with § 38.2-3521.1.

"Long-term care insurance" means any insurance policy or rider advertised,marketed, offered or designed to provide coverage for not less than twelveconsecutive months for each covered person on an expense incurred, indemnity,prepaid, or other basis, for one or more necessary or medically necessarydiagnostic, preventive, therapeutic, rehabilitative, maintenance, personalcare, mental health or substance abuse services, provided in a setting otherthan an acute care unit of a hospital. Such term includes group andindividual annuities and life insurance policies or riders that providedirectly or that supplement long-term care insurance. Such term shall alsoinclude qualified long-term insurance contracts. Long-term care insurance maybe issued by insurers, fraternal benefit societies, health services plans,health maintenance organizations, cooperative nonprofit life benefitcompanies or mutual assessment life, accident and sickness insurers to theextent they are otherwise authorized to issue life or accident and sicknessinsurance. Health maintenance organizations, cooperative nonprofit lifebenefit companies and mutual assessment life, accident and sickness insurersmay apply to the Commission for approval to provide long-term care insurance.

"Policy" means any individual or group policy of insurance, contract,subscriber agreement, certificate, rider or endorsement delivered or issuedfor delivery in this Commonwealth by an insurer, fraternal benefit society,health services plan, health maintenance organization or any similarorganization.

"Qualified long-term care insurance policy" or "federally tax-qualifiedlong-term care insurance contract" means an individual or group insurancepolicy or contract that meets the requirements of § 7702B (b) of the InternalRevenue Code of 1986, as amended. Such term shall also include the portion ofa life insurance policy or contract that provides long-term care insurancecoverage by rider or as part of the contract and that satisfies therequirements of §§ 7702B (b) and 7702B (e) of the Internal Revenue Code of1986, as amended.

(1987, c. 586; 1990, c. 285; 2000, c. 559.)

State Codes and Statutes

Statutes > Virginia > Title-38-2 > Chapter-52 > 38-2-5200

§ 38.2-5200. Definitions.

As used in this chapter:

"Applicant" means in the case of an individual long-term care insurancepolicy, the person who seeks to contract for such benefits, or in the case ofa group long-term care insurance policy, the proposed certificateholder.

"Certificate" means any certificate or evidence of coverage issued under agroup long-term care insurance policy, which policy has been delivered orissued for delivery in this Commonwealth.

"Group long-term care insurance" means a long-term care insurance policydelivered or issued for delivery in this Commonwealth to any group whichcomplies with § 38.2-3521.1.

"Long-term care insurance" means any insurance policy or rider advertised,marketed, offered or designed to provide coverage for not less than twelveconsecutive months for each covered person on an expense incurred, indemnity,prepaid, or other basis, for one or more necessary or medically necessarydiagnostic, preventive, therapeutic, rehabilitative, maintenance, personalcare, mental health or substance abuse services, provided in a setting otherthan an acute care unit of a hospital. Such term includes group andindividual annuities and life insurance policies or riders that providedirectly or that supplement long-term care insurance. Such term shall alsoinclude qualified long-term insurance contracts. Long-term care insurance maybe issued by insurers, fraternal benefit societies, health services plans,health maintenance organizations, cooperative nonprofit life benefitcompanies or mutual assessment life, accident and sickness insurers to theextent they are otherwise authorized to issue life or accident and sicknessinsurance. Health maintenance organizations, cooperative nonprofit lifebenefit companies and mutual assessment life, accident and sickness insurersmay apply to the Commission for approval to provide long-term care insurance.

"Policy" means any individual or group policy of insurance, contract,subscriber agreement, certificate, rider or endorsement delivered or issuedfor delivery in this Commonwealth by an insurer, fraternal benefit society,health services plan, health maintenance organization or any similarorganization.

"Qualified long-term care insurance policy" or "federally tax-qualifiedlong-term care insurance contract" means an individual or group insurancepolicy or contract that meets the requirements of § 7702B (b) of the InternalRevenue Code of 1986, as amended. Such term shall also include the portion ofa life insurance policy or contract that provides long-term care insurancecoverage by rider or as part of the contract and that satisfies therequirements of §§ 7702B (b) and 7702B (e) of the Internal Revenue Code of1986, as amended.

(1987, c. 586; 1990, c. 285; 2000, c. 559.)


State Codes and Statutes

State Codes and Statutes

Statutes > Virginia > Title-38-2 > Chapter-52 > 38-2-5200

§ 38.2-5200. Definitions.

As used in this chapter:

"Applicant" means in the case of an individual long-term care insurancepolicy, the person who seeks to contract for such benefits, or in the case ofa group long-term care insurance policy, the proposed certificateholder.

"Certificate" means any certificate or evidence of coverage issued under agroup long-term care insurance policy, which policy has been delivered orissued for delivery in this Commonwealth.

"Group long-term care insurance" means a long-term care insurance policydelivered or issued for delivery in this Commonwealth to any group whichcomplies with § 38.2-3521.1.

"Long-term care insurance" means any insurance policy or rider advertised,marketed, offered or designed to provide coverage for not less than twelveconsecutive months for each covered person on an expense incurred, indemnity,prepaid, or other basis, for one or more necessary or medically necessarydiagnostic, preventive, therapeutic, rehabilitative, maintenance, personalcare, mental health or substance abuse services, provided in a setting otherthan an acute care unit of a hospital. Such term includes group andindividual annuities and life insurance policies or riders that providedirectly or that supplement long-term care insurance. Such term shall alsoinclude qualified long-term insurance contracts. Long-term care insurance maybe issued by insurers, fraternal benefit societies, health services plans,health maintenance organizations, cooperative nonprofit life benefitcompanies or mutual assessment life, accident and sickness insurers to theextent they are otherwise authorized to issue life or accident and sicknessinsurance. Health maintenance organizations, cooperative nonprofit lifebenefit companies and mutual assessment life, accident and sickness insurersmay apply to the Commission for approval to provide long-term care insurance.

"Policy" means any individual or group policy of insurance, contract,subscriber agreement, certificate, rider or endorsement delivered or issuedfor delivery in this Commonwealth by an insurer, fraternal benefit society,health services plan, health maintenance organization or any similarorganization.

"Qualified long-term care insurance policy" or "federally tax-qualifiedlong-term care insurance contract" means an individual or group insurancepolicy or contract that meets the requirements of § 7702B (b) of the InternalRevenue Code of 1986, as amended. Such term shall also include the portion ofa life insurance policy or contract that provides long-term care insurancecoverage by rider or as part of the contract and that satisfies therequirements of §§ 7702B (b) and 7702B (e) of the Internal Revenue Code of1986, as amended.

(1987, c. 586; 1990, c. 285; 2000, c. 559.)