Nevada Administrative Code (Last Updated: January 6, 2015)

NAC687B.116. Limitations on conditioning of benefits.

Latest version.

     1. A long-term care insurance contract delivered or issued for delivery in this State may not:

     (a) Condition any benefit upon the hospitalization of the insured;

     (b) Condition any benefit for an insured who is institutionalized upon his or her receiving a higher level of institutional care; or

     (c) Condition any benefit, other than a waiver of premium or benefits for postconfinement care, postacute care or any recuperative benefit, upon the institutionalization of the insured.

     2. If a long-term care insurance contract conditions coverage for noninstitutional care upon the receipt of institutional care, the required period of institutional care must not exceed 30 days.

(Added to NAC by Comm’r of Insurance, eff. 1-4-91; A by R028-10, 12-16-2010, eff. 10-1-2011)

                    
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