Section R590-148-5 - Required Forms, Reports, and DisclosuresThe 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.Utah Admin. Code R590-148-5
Adopted by Utah State Bulletin Number 2024-21, effective 10/22/2024