Utah Admin. Code R590-148-5 - Required Forms, Reports, and Disclosures

The documents in this section shall be used by an insurer offering a long-term care insurance policy or certificate. The documents were adopted by the NAIC, Long-Term Care Insurance Model Regulation, number 641, and are available on the department's website, http://insurance.utah.gov:

(1) Claims Denial Reporting Form Long-Term Care Insurance Rescission Reporting Form;
(2) Long-Term Care Insurance Outline of Coverage;
(3) Long-Term Care Insurance Personal Worksheet;
(4) Long-Term Care Insurance Suitability Letter;
(5) Notice to Applicant Regarding Replacement of Accident and Sickness or Long-Term Care Insurance;
(6) Notice to Applicant Regarding Replacement of Individual Accident and Sickness or Long-Term Care Insurance;
(7) Rescission Reporting Form;
(8) Replacement and Lapse Reporting Form;
(9) Suitability Reporting Form;
(10) Things You Should Know Before You Buy Long-Term Care Insurance;
(11) Triggers for a Substantial Premium Increase; and
(12) Worksheet Potential Rate Increase Disclosure Form.

Notes

Utah Admin. Code R590-148-5
Adopted by Utah State Bulletin Number 2024-21, effective 10/22/2024

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