RCW 48.83.050
295 words·~1 min read·
/wa/title-48/chapter-48-83/48-83-050·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 canceled, nonrenewed, or otherwise terminated on the grounds of the age or the deterioration of the mental or physical health of the insured individual or certificate holder;
(2)Contain a provision establishing a 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)Condition eligibility for any benefits on a prior hospitalization requirement;
(5)Condition eligibility for benefits provided in an institutional care setting on the receipt of a higher level of institutional care;
(6)Condition eligibility for any benefits other than waiver of premium, postconfinement, postacute care, or recuperative benefits on a prior institutionalization requirement;
(7)Include a postconfinement, postacute care, or recuperative benefit unless:
(a)Such requirement is clearly labeled in a separate paragraph of the policy or certificate entitled "Limitations or Conditions on Eligibility for Benefits"; and
(b)Such limitations or conditions specify any required number of days of preconfinement or postconfinement;
(8)Condition eligibility for noninstitutional benefits on the prior receipt of institutional care;
(9)A long-term care insurance policy or certificate may be field-issued if the compensation to the field issuer is not based on the number of policies or certificates issued. For purposes of this section, "field-issued" means a policy or certificate issued by a producer or a third-party administrator of the policy pursuant to the underwriting authority by an issuer and using the issuer's underwriting guidelines.
[ 2008 c 145 s 6 .]