Section 687B.067 - Applications: Questions; required statements; required information for applicants 80 years of age or older1. An application for a long-term care insurance contract or certificate that is not guaranteed issue must contain clear and unambiguous questions designed to ascertain the condition of the applicant's health.2. If an application for a long-term care insurance contract or certificate contains a question which asks whether the applicant has had medication prescribed by a physician, the applicant must be required to list any medication that has been prescribed. If an insurer knows, or should know, at the time of application that a medication listed by the applicant on the application is directly related to a medical condition for which coverage would otherwise be denied, the insurer shall not later rescind the long-term care insurance contract or certificate for that condition.3. Except for a long-term care insurance contract or certificate that is guaranteed issue: (a) A statement in the following form must be set out conspicuously and in close proximity to the block for the applicant's signature on an application for a long-term care insurance contract or certificate: Caution: If your answers on this application are incorrect or untrue, [Company Name] has the right to deny benefits or rescind your policy.
(b) A statement in substantially the following form must be set out conspicuously on the long-term care insurance contract or certificate at the time of delivery: Caution: The issuance of this [policy] [certificate] of long-term care insurance is based upon your responses to the questions on your application. A copy of your [application] [enrollment form] [is enclosed] [was retained by you when you applied]. If your answers are incorrect or untrue, the company has the right to deny benefits or rescind your [policy] [certificate]. The best time to clear up any questions is now, before a claim arises! If, for any reason, any of your answers is incorrect, contact the company at this address: [insert address].
(c) Prior to issuing a long-term care insurance contract or certificate to an applicant who is at least 80 years old, an insurer shall obtain one of the following: (1) A report of a physical examination;(2) An assessment of functional capacity;(3) An attending physician's statement; or(4) Copies of medical records.Nev. Admin. Code § 687B.067
Added to NAC by Comm'r of Insurance, eff. 12-15-94; A by R028-10, 12-16-2010, eff. 10-1-2011