§431:10A-527 Outline of coverage required. [Section repealed on July 1, 2000. L 1999, c 93, §§8,18.] (a) An outline of coverage shall be delivered to a prospective applicant for long-term care insurance at the time of initial solicitation through means that prominently direct the attention of the recipient to the document and its purpose. In the case of agent solicitations, an agent shall deliver the outline of coverage before the presentation of an application or enrollment form. In the case of direct response solicitation, the outline of coverage shall be presented with any application or enrollment form.

(b) The outline of coverage shall include:

(1) A description of the principal benefits and coverage provided in the policy;

(2) A statement of the principal exclusions, reductions, and limitations contained in the policy;

(3) A statement of the terms under which the policy or certificate, or both, may be continued in force or discontinued, including any reservation in the policy of a right to change premiums. Continuation or conversion provisions of group coverage shall be specifically described;

(4) A statement that the outline of coverage is a summary only, not a contract of insurance, and that the policy or group master policy contains governing contractual provisions;

(5) A description of the terms under which the policy or certificate may be returned and premium refunded; and

(6) A brief description of the relationship of costs of care and benefits.

(c) The commissioner may prescribe a standard format, including style, arrangement, and overall appearance, and the content of an outline of coverage. [L 1989, c 335, pt of §2; am L 1991, c 48, §8]