§ 10235.35
166 words·~1 min read·
/ca/insurance-code/10235-35A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
(a)Notwithstanding any other law, the commissioner may require the administration by an insurer of the contingent benefit upon lapse, as described in Section 28 (A),
(D)(3), (E), (F), (G), and
(J)of the Long-Term Care Insurance Model Regulation promulgated by the National Association of Insurance Commissioners, as adopted in September 2014, as a condition of approval or acknowledgment of a rate adjustment for a block of business for which the contingent benefit upon lapse is not otherwise available.
(b)The insurer shall notify policyholders and certificate holders of the contingent benefit upon lapse when required by the commissioner in conjunction with the implementation of a rate adjustment. The commissioner may require an insurer who files for such a rate adjustment to allow policyholders and certificate holders to reduce coverage pursuant to Section 10235.50 to avoid an increase in the policy’s premium amount.
(c)The commissioner may also approve any other alternative mechanism filed by the insurer in lieu of the contingent benefit upon lapse.