Sec. 3941a.
(1) This section does not apply to life insurance policies or riders containing accelerated benefits for long-term care.
(2) Every insurer or other entity marketing long-term care insurance shall do all of the following:
(a) Develop and use suitability standards to determine whether the purchase or replacement of long-term care insurance is appropriate for the needs of the applicant.
(b) Train its producers in the use of and require producers to use its suitability standards.
(c) Maintain a copy of its suitability standards and make them available for inspection upon request by the commissioner.
(d) To determine whether the applicant meets the developed suitability standards, the insurer shall make reasonable efforts to obtain all of the following information:
(i) The applicant's ability to pay for the proposed coverage and other pertinent financial information related to the purchase of the coverage.
(ii) The applicant's goals or needs with respect to long-term care and the advantages and disadvantages of insurance to meet these goals or needs.
(iii) The values, benefits, and costs of the applicant's existing insurance, if any, when compared to the values, benefits, and costs of the recommended purchase or replacement.
(3) If the insurer determines that the applicant does not meet its suitability standards, or if the applicant has declined to provide the necessary information, the insurer may reject the application for long-term care insurance.
History: Add. 2006, Act 442, Imd. Eff. Oct. 19, 2006
Popular Name: Act 218
Last modified: October 10, 2016