Florida Regulations 69O-157.017: Prior Institutionalization
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(1) No contract issued as a long-term care insurance policy shall condition any benefits upon prior institutionalization for a total period of time longer than three days.
(2) If a contract provides benefits only following institutionalization of three days, or less, then benefits may not be conditioned upon admission to a facility for the same or related condition within a period of less than 30 days after discharge from the prior institution.
(3) An entity that advertises, markets, or solicits long-term care coverage in this state which provides benefits only following institutionalization shall also offer to each policyholder, as part of the application, a contract which does not require prior institutionalization as a condition to any benefit.
Rulemaking Authority Florida Statutes § 624.308(1), 627.9407(1) FS. Law Implemented 624.307(1), 627.9407(5) FS. History-New 5-17-89, Formerly 4-81.017, 4-157.017.
Terms Used In Florida Regulations 69O-157.017
- Contract: A legal written agreement that becomes binding when signed.
(3) An entity that advertises, markets, or solicits long-term care coverage in this state which provides benefits only following institutionalization shall also offer to each policyholder, as part of the application, a contract which does not require prior institutionalization as a condition to any benefit.
Rulemaking Authority Florida Statutes § 624.308(1), 627.9407(1) FS. Law Implemented 624.307(1), 627.9407(5) FS. History-New 5-17-89, Formerly 4-81.017, 4-157.017.