California Legislature—2015–16 Regular Session

Assembly BillNo. 310

Introduced by Assembly Member Mathis

February 12, 2015

An act to amend Section 10231.2 of the Insurance Code, relating to long-term care insurance.


AB 310, as introduced, Mathis. Long-term care insurance.

Existing law provides for the regulation of long-term care insurance, as defined, and requires the Insurance Commissioner to review and approve individual and group policies, certificates, riders, and outlines of coverage.

This bill would make technical, nonsubstantive changes to that provision.

Vote: majority. Appropriation: no. Fiscal committee: no. State-mandated local program: no.

The people of the State of California do enact as follows:

P1    1


Section 10231.2 of the Insurance Code is
2amended to read:



begin insert(a)end insertbegin insertend insert “Long-term care insurance” includes any
4insurance policy, certificate, or rider advertised, marketed, offered,
5solicited, or designed to provide coverage for diagnostic,
6preventive, therapeutic, rehabilitative, maintenance, or personal
7care services that are provided in a setting other than an acute care
8unit of a hospital. Long-term care insurance includes all products
9containing any of the following benefit types: coverage for
P2    1institutional care including care in a nursing home, convalescent
2facility, extended care facility, custodial care facility, skilled
3nursing facility, or personal care home; home care coverage
4including home health care, personal care, homemaker services,
5hospice, or respite care; or community-based coverage including
6adult day care, hospice, or respite care. Long-term care insurance
7includes disability based long-term care policies but does not
8include insurance designed primarily to provide Medicare
9supplement or major medical expense coverage.

begin delete


end delete

11begin insert(b)end insertbegin insertend insertbegin insertLong-term end insertcare policies, certificates, and riders shall be
12regulated under this chapter. The commissioner shall review and
13approve individual and groupbegin insert long-term careend insert policies, certificates,
14riders, and outlines of coverage. Other applicable laws and
15regulations shall also apply to long-term care insurance insofar as
16they do not conflict with the provisions in this chapter. Long-term
17care benefits designed to provide coverage of 12 months or more
18that are contained in or amended to Medicare supplement or other
19disability policies and certificates shall be regulated under this