§ 10232
492 words·~2 min read·
/ca/insurance-code/10232A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
(a)No group long-term care insurance coverage may be offered or sold to a resident of this state under a group policy issued in another state to a group described in subdivision
(d)of Section 10231.6, unless the commissioner has determined that the requirements imposed by subdivision
(d)of Section 10231.6 have been met. At least 30 days in advance of advertising, marketing, or offering coverage within this state, an insurer issuing a policy to a group described in subdivision
(d)of Section 10231.6 shall accomplish an informational filing with the commissioner which consists of the following materials:
(1)A specimen master policy and certificate.
(2)The corresponding outline of coverage.
(3)Representative advertising materials to be used in this state.
(4)At the option of the insurer, any other documentation which the insurer believes will provide information sufficient to allow the commissioner to determine that the requirements of subdivision
(d)of Section 10231.6 have been met or which establishes that the insurance regulatory authority of another state has made a determination that the requirements have been met, or both.
(b)No group long-term care insurance coverage may be offered or sold to a resident of this state under a group policy issued in another state to a group described in subdivision
(c)of Section 10231.6, unless, prior to advertising, marketing, or offering that coverage within this state, the association or associations, or the insurer of the association or associations, files evidence with the commissioner that the association or associations have at the outset a minimum of 100 persons, have been organized and maintained in good faith for a primary purpose other than that of obtaining insurance, have been in active existence for at least one year, have a constitution and bylaws which provide all of the following, and provide evidence that the following have been consistently implemented:
(1)The association or associations hold regular meetings, not less than annually, to further purposes of the members.
(2)Except for credit unions, the association or associations collect dues or solicit contributions from members.
(3)The members have voting privileges and representation on the governing board and committees.
Thirty days after that filing, the association or associations shall be deemed to satisfy those organizational requirements, unless the commissioner makes the finding that the association or associations do not satisfy those organizational requirements.
The association or associations, or the insurer of the association or associations, shall accompany this organizational filing with an informational filing which consists of the following materials:
(1)A specimen master policy and certificate.
(2)The corresponding outline of coverage.
(3)Representative advertising materials to be used in this state.
(c)Compliance with the informational filings required to be made by this section shall also constitute compliance with the filing requirements of Section 10233.9.
(d)The materials required to be filed with the commissioner by this section shall be filed with the commissioner for informational purposes only, and not for approval purposes.