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HEARING - U.S. Senate Special Committee on Aging

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162<br />

and competitive reas<strong>on</strong>s. It is not anticipated that competitive forces<br />

would permit significant lengthening of such periods.<br />

D. Prior Instituti<strong>on</strong>alizati<strong>on</strong>:<br />

No l<strong>on</strong>g-term care insurance policy which provides benefits <strong>on</strong>ly<br />

following instituti<strong>on</strong>alizati<strong>on</strong> shell c<strong>on</strong>diti<strong>on</strong> such benefits up<strong>on</strong><br />

admissi<strong>on</strong> to a facility for the same or related c<strong>on</strong>diti<strong>on</strong>s within<br />

a period of less then thirty (30) days after discharge from the<br />

instituti<strong>on</strong>.<br />

E; The Commissi<strong>on</strong>er may adopt regulati<strong>on</strong>s establishing loss ratio<br />

standards for l<strong>on</strong>g-term care insurance policies provided that a<br />

specific reference to l<strong>on</strong>g-term care insurance policies is<br />

c<strong>on</strong>tained in the regulati<strong>on</strong>.<br />

f. Right to Return - Free Look Provisi<strong>on</strong>:<br />

(I) Individual l<strong>on</strong>g-term care insurance policyholders shall have<br />

the right to return the policy within ten C1D) days of its<br />

delivery and to have the premium refunded if, after<br />

examinati<strong>on</strong> of the policy, the policyholder is not satisfied<br />

for any reas<strong>on</strong>. Individual l<strong>on</strong>g-term care insurance policies<br />

shall have a notice prominently printed <strong>on</strong> the first page of<br />

the policy or attached thereto steting in substance that the<br />

policyholder shall have the right to return the policy within<br />

ten (10) days of Its delivery and to have the premium<br />

refunded it, after examinati<strong>on</strong> of the policy, the<br />

policyholder is not satisfied for any reas<strong>on</strong>.<br />

-I-

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