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Texas Administrative Code (Last Updated: March 27,2024) |
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TITLE 28. INSURANCE |
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PART 1. TEXAS DEPARTMENT OF INSURANCE |
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CHAPTER 3. LIFE, ACCIDENT, AND HEALTH INSURANCE AND ANNUITIES |
SUBCHAPTER Y. STANDARDS FOR LONG-TERM CARE INSURANCE, NON-PARTNERSHIP AND PARTNERSHIP LONG-TERM CARE INSURANCE COVERAGE UNDER INDIVIDUAL AND GROUP POLICIES AND ANNUITY CONTRACTS, AND LIFE INSURANCE POLICIES THAT PROVIDE LONG-TERM CARE BENEFITS WITHIN THE POLICY
| DIVISION 1. GENERAL PROVISIONS |
| § 3.3801. Authority |
| § 3.3802. Purpose |
| § 3.3803. Applicability and Severability |
| § 3.3804. Definitions |
| DIVISION 2. NON-PARTNERSHIP AND PARTNERSHIP LONG-TERM CARE INSURANCE |
| § 3.3805. Standards in Policies |
| § 3.3806. Initial and Subsequent Conditions of Eligibility |
| § 3.3807. Policy or Certificate Standards for Guaranteed Renewability |
| § 3.3810. Policy or Certificate Standards for Noncancellability |
| § 3.3812. Policy Standards for Provider |
| § 3.3815. Standards for Home Health and Adult Day Care Benefits |
| § 3.3818. Standards for Eligibility for Benefits |
| § 3.3819. Requirement for Reserve |
| § 3.3820. Requirement To Offer Inflation Protection |
| § 3.3821. Limits on Group Long-Term Care Insurance |
| § 3.3822. Minimum Standard for Renewability of Long-term Care Coverage |
| § 3.3823. Prohibited Policy Provisions; Required Disclosures |
| § 3.3824. Preexisting Conditions Provisions |
| § 3.3825. Prior Hospitalization or Institutionalization |
| § 3.3826. Limitations and Exclusions |
| § 3.3827. Extension of Benefits |
| § 3.3828. Continuation or Conversion; Discontinuance and Replacement |
| § 3.3829. Required Disclosures |
| § 3.3830. Requirements for Application Forms and Replacement Coverage |
| § 3.3831. Standards and Rates |
| § 3.3832. Outline of Coverage |
| § 3.3833. Group Certificates; Outline of Coverage Required |
| § 3.3834. Organization of Policy Format for Readability |
| § 3.3835. Language Readability |
| § 3.3836. Standards for Policy Certificates Submitted for Approval |
| § 3.3837. Reporting Requirements |
| § 3.3838. Filing Requirements for Advertising |
| § 3.3839. Standards for Marketing |
| § 3.3840. Requirements To Deliver Shopper's Guide |
| § 3.3841. Unintentional Lapse and Reinstatement |
| § 3.3842. Appropriateness of Recommended Purchase |
| § 3.3843. Premium Rate Restrictions |
| § 3.3844. Nonforfeiture and Contingent Nonforfeiture Benefits |
| § 3.3845. Permitted Refunds of Premium Provisions |
| § 3.3846. Incontestability Period |
| § 3.3847. Qualified Long-Term Care Insurance Contracts: Prohibited Representations |
| § 3.3848. Requirements for Limited Premium Payment Options in Long-Term Care Policies, Certificates, and Riders |
| § 3.3849. Requirements for Insurers that Issue Long-Term Care Policies to Associations and Marketing Standards for Associations that Market the Policies |
| DIVISION 3. NON-PARTNERSHIP LONG-TERM CARE INSURANCE ONLY |
| § 3.3860. Policy Summary Requirements for Non-Partnership Life Insurance Policies and Annuity Contracts that Provide Long-Term Care Benefits |
| DIVISION 4. PARTNERSHIP LONG-TERM CARE INSURANCE ONLY |
| § 3.3870. Exchange Requirements for Long-Term Care Partnership Policies |
| § 3.3871. Standards and Reporting Requirements for Approved Long-Term Care Partnership Policies and Certificates |
| § 3.3872. Inflation Protection Requirements for Long-Term Care Partnership Policies and Certificates |
| § 3.3873. Filing Requirements for Long-Term Care Partnership Policies |
| § 3.3874. Insurer Requirements for Agents That Market Partnership Policies and Certificates |