Rule 20:06:21:0F Disclosure Form.
DEPARTMENT OF REVENUE AND REGULATION
DEPARTMENT OF LABOR AND
REGULATION
DIVISION OF INSURANCE
DISCLOSURE FORM
THINGS YOU SHOULD KNOW
BEFORE YOU BUY LONG-TERM CARE INSURANCE
Chapter 20:06:21
APPENDIX F
SEE: § 20:06:21:53.02
Source:
28 SDR 157, effective May 19, 2002; 33 SDR 230, effective July 2, 2007.
Things
You Should Know Before You Buy
Long-Term
Care Insurance
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Long-Term
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• A
long-term care insurance policy may pay most of the costs for your care in
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Care
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a
nursing home. Many policies also pay for care at home or other community
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Insurance
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settings.
Since policies can vary in coverage, you should read this policy and
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make
sure you understand what it covers before you buy it.
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• [You should not buy this insurance policy unless you
can afford to pay the
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premiums every year.]
[Remember that the company can increase premiums
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in the future.]
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• The
personal worksheet includes questions designed to help you and the
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company
determine whether this policy is suitable for your needs.
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Medicare
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• Medicare
does not pay for most long-term
care.
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Medicaid
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• Medicaid
will generally pay for long-term care if you have very little income
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and
few assets. You probably should not
buy this policy if you are now
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eligible
for Medicaid.
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• Many
people become eligible for Medicaid after they have used up their
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own
financial resources by paying for long-term care services.
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• When
Medicaid pays your spouse's nursing home bills, you are allowed to
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keep
your house and furniture, a living allowance, and some of your joint
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assets.
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• Your
choice of long-term care services may be limited if you are receiving
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Medicaid.
To learn more about Medicaid, contact your local or state
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Medicaid
agency.
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Shopper's
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• Make sure the insurance company
or agent gives you a copy of a book called
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Guide
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the National Association of
Insurance Commissioners' "Shopper's Guide to
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Long-Term Care
Insurance." Read it carefully. If you have decided to apply
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for long-term care
insurance, you have the right to return the policy within
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30 days and get back any
premium you have paid if you are dissatisfied for
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any reason or choose not to
purchase the policy
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Counseling
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• Free
counseling and additional information about long-term care insurance
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are
available through your state's insurance counseling program. Contact
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your
state insurance department or department on aging for more informa-
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tion
about the senior health insurance counseling program in your state.
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Facilities
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• Some
long-term care insurance contracts provide for benefit payments in
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certain
facilities only if they are licensed or certified, such as in assisted
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living
centers. However, not all states regulate these facilities in the same
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way.
Also, many people move to a different state from where they purchased
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their
long-term care insurance policy. Read the policy carefully to determine
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what
types of facilities qualify for benefit payments, and to determine that
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payment
for a covered service will be made if you move to a state that has a
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different
licensing scheme for facilities than the one in which you purchased
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the
policy.
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20:06:21 |
20:06:21:0F 