31A-22-1407. Restricted conditional terms.
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/ut/title-31a/chapter-22/31a-22-1407A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
31A-22-1407. Restricted conditional terms.
(1)A long-term care insurance policy may not contain a provision that conditions eligibility:
(a)for any benefits on a prior hospitalization requirement;
(b)for benefits provided in an institutional care setting on the receipt of a higher level of institutional care; or
(c)for any benefits on a prior institutionalization requirement except for eligibility for:
(i)waiver of premium;
(ii)post confinement;
(iii)post-acute care; or
(iv)recuperative benefits.
(2)A long-term care insurance policy containing post confinement, post-acute care, or recuperative benefits shall clearly label the limitations or conditions, including any required number of days of confinement in a separate paragraph of the policy or certificate that is entitled "Limitations or Conditions on Eligibility for Benefits."
(3)A long-term care insurance policy or rider that conditions eligibility of noninstitutional benefits on the prior receipt of institutional care may not require a prior institutional stay of more than 30 days.
Amended by Chapter 116 , 2001 General Session