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Code · Virginia · Title 38.2 · Chapter 52

Code of Virginia § 38.2-5203. Prohibited provisions.

184 words·~1 min read·/va/title-38-2/chapter-52/38-2-5203·

A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

No long-term care insurance policy may:
1. Be cancelled, nonrenewed, or otherwise terminated on the grounds of the age or the deterioration of the mental or physical health of the insured individual or certificateholder;
2. Contain a provision establishing any new waiting period in the event existing coverage is converted to or replaced by a new or other form within the same company, except with respect to an increase in benefits voluntarily selected by the insured individual or group policyholder;
3. Provide coverage for skilled nursing care only or provide significantly more coverage for skilled care in a facility than coverage for lower levels of care;
4. Be issued based on medical or health status when the policy is issued by an agent or third-party administrator pursuant to the underwriting authority granted to the agent or third-party administrator by the insurer; or
5. Provide that an insurer who has paid benefits under a long-term care insurance policy or certificate may recover the benefit payments in the event that the policy or certificate is rescinded.
1987, c. 586; 1990, c. 285; 2000, c. 559 .
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