AB 310, as amended, 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.end delete
begin deleteno end delete.
State-mandated local program: no.
The people of the State of California do enact as follows:
2immediately following Section 10234.7
Section 10231.2 of the Insurance Code is
19amended to read:
(a) “Long-term care insurance” includes any
21insurance policy, certificate, or rider advertised, marketed, offered,
22solicited, or designed to provide coverage for diagnostic,
23preventive, therapeutic, rehabilitative, maintenance, or personal
24care services that are provided in a setting other than an acute care
25unit of a hospital. Long-term care insurance includes all products
26containing any of the following benefit types: coverage for
27institutional care including care in a nursing home, convalescent
28facility, extended care facility, custodial care facility, skilled
29nursing facility, or personal care home; home care coverage
30including home health care, personal care, homemaker services,
31hospice, or respite care; or community-based coverage including
32adult day care, hospice, or respite care. Long-term care insurance
33includes disability based long-term care policies but does not
34include insurance designed primarily to provide Medicare
35supplement or major medical expense coverage.
36(b) Long-term care policies, certificates, and riders shall be
37regulated under this chapter. The commissioner shall review and
38approve individual and group long-term care policies, certificates,
P3 1riders, and outlines of coverage. Other applicable laws and
2regulations shall also apply to long-term care insurance insofar as
3they do not conflict with the provisions in this chapter. Long-term
4care benefits designed to provide coverage of 12 months or more
5that are contained in or amended to Medicare supplement or other
6disability policies and certificates shall be regulated under this