California Insurance Code ARTICLE 3 - General Provisions

• Section 10232.
  (a) No group long-term care insurance coverage may be offered or sold to a resident of this state under a group policy issued in another state...
• Section 10232.1.
  (a) Every policy that is intended to be a qualified long-term care insurance contract as provided by Public Law 104-191 shall be identified as such by...
• Section 10232.2.
  (a) Every insurer that offers policies or certificates that are intended to be federally qualified long-term care insurance contracts, including riders to life insurance policies providing...
• Section 10232.3.
  (a) All applications for long-term care insurance except that which is guaranteed issue, shall contain clear, unambiguous, short, simple questions designed to ascertain the health condition...
• Section 10232.4.
  (a) No long-term care insurance policy or certificate other than a group policy or certificate, as described in subdivision (a) of Section 10231.6, shall use a...
• Section 10232.5.
  On or after January 1, 1990, no long-term care insurance policy may be delivered or issued for delivery in this state which does any of...
• Section 10232.6.
  The commissioner may adopt regulations establishing loss ratio standards for long-term care insurance policies provided that a specific reference to long-term care insurance policies is...
• Section 10232.65.
  In addition to any other requirements of law, the following shall apply to a long-term care insurance policy:(a) The insurer shall not require an amount greater...
• Section 10232.7.
  (a) An applicant for a long-term care insurance policy or a certificate, other than an applicant for a certificate issued under a group long-term care insurance...
• Section 10232.8.
  (a) In every long-term care policy or certificate that is not intended to be a federally qualified long-term care insurance contract and provides home care benefits,...
• Section 10232.81.
  (a) Every long-term care policy, certificate, or rider that purports to provide benefits of home and community-based services under the California Partnership for Long-Term Care Program...
• Section 10232.9.
  (a) Every long-term care policy or certificate that purports to provide benefits of home care or community-based services, shall provide at least the following:(1) Home health care.(2) Adult...
• Section 10232.92.
  Every long-term care policy or certificate covering confinement in a nursing facility shall also include a provision with the following features:(a) Care in a residential care...
• Section 10232.93.
  Every long-term care policy or certificate shall define the maximum lifetime benefit as a single dollar amount that may be used interchangeably for any home-...
• Section 10232.95.
  Every long-term care policy or certificate that provides reimbursement for care in a nursing facility shall cover and reimburse for per diem expenses, as well...
• Section 10232.96.
  When a policy or certificate holder of an insurance contract issued prior to December 31, 1996, requests a material modification to the contract as defined...
• Section 10232.97.
  In every long-term care policy or certificate that covers care in a nursing facility, the threshold establishing eligibility for nursing facility care shall be no...
• Section 10233.
  Precedent to the payment of benefits for any care covered by the terms of the policy, any insurer offering long-term care insurance as described in...
• Section 10233.2.
  Long-term care insurance may not:(a) Be canceled, nonrenewed, or otherwise terminated on the grounds of the age or the deterioration of the mental or physical health...
• Section 10233.25.
  No long-term care policy or certificate that is issued, amended, renewed, or delivered on and after January 1, 2002, shall contain a provision that prohibits...
• Section 10233.3.
  If a policy or certificate replaces another long-term care policy or certificate, the replacing insurer shall waive any time periods applicable to preexisting conditions and...
• Section 10233.4.
  No long-term care insurance benefits may be reduced because of out-of-pocket expenditures by the insured or on behalf of the insured by a family member...
• Section 10233.5.
  (a) An outline of coverage shall be delivered to a prospective applicant for long-term care insurance at the time of initial solicitation through means which prominently...
• Section 10233.6.
  A certificate issued pursuant to a group long-term care insurance policy, which policy is delivered or issued for delivery in this state, shall include all...
• Section 10233.7.
  No policy may be advertised, marketed, or offered as long-term care or nursing home insurance unless it complies with this chapter.(Added by Stats. 1989, Ch....

Last modified: October 22, 2018