Okla. Stat. tit. 36, § 36-4426.1
This is the official text of Okla. Stat. tit. 36, § 36-4426.1, part of Oklahoma’s Stat. tit. 36, — part of the compiled statutory law of Oklahoma, published by the state as "Stat. tit. 36,." Browse the sections below, each linked to its official government source.
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Rescission or denial of claim upon grounds of
Official statutory text
misrepresentation.
A. For a policy or certificate that has been in force for less
than six (6) months, an insurer may rescind a long-term care
insurance policy or certificate or deny an otherwise valid long-term
care insurance claim upon a showing of misrepresentation that is
material to the acceptance for coverage.
Oklahoma Statutes - Title 36. Insurance Page 973
B. For a policy or certificate that has been in force for at
least six (6) months but less than two (2) years, an insurer may
rescind a long-term care insurance policy or certificate or deny an
otherwise valid long-term care insurance claim upon a showing of
misrepresentation that is both material to the acceptance for
coverage and which pertains to the conditions for which benefits are
sought.
C. After a policy or certificate has been in force for two (2)
years, it is not contestable upon the grounds of misrepresentation
alone; such policy or certificate may be contested only upon a
showing that the insured knowingly and intentionally misrepresented
relevant facts relating to the insured's health.
D. 1. No long-term care insurance policy or certificate may be
field-issued based on medical or health status.
2. For purposes of this section, "field-issued" means a policy
or certificate issued by an agent or a third-party administrator
pursuant to the underwriting authority granted to the agent or
third-party administrator by an insurer.
E. If an insurer has paid benefits under the long-term care
insurance policy or certificate, the benefit payments may not be
recovered by the insurer in the event that the policy or certificate
is rescinded.
F. Provided further, if under the provisions of this section
said policy or certificate is rescinded by the insurer, then in that
event the insured shall be refunded within thirty (30) days of
rescission all premiums paid to the insurer by the insured for the
policy or certificate.
A. For a policy or certificate that has been in force for less
than six (6) months, an insurer may rescind a long-term care
insurance policy or certificate or deny an otherwise valid long-term
care insurance claim upon a showing of misrepresentation that is
material to the acceptance for coverage.
Oklahoma Statutes - Title 36. Insurance Page 973
B. For a policy or certificate that has been in force for at
least six (6) months but less than two (2) years, an insurer may
rescind a long-term care insurance policy or certificate or deny an
otherwise valid long-term care insurance claim upon a showing of
misrepresentation that is both material to the acceptance for
coverage and which pertains to the conditions for which benefits are
sought.
C. After a policy or certificate has been in force for two (2)
years, it is not contestable upon the grounds of misrepresentation
alone; such policy or certificate may be contested only upon a
showing that the insured knowingly and intentionally misrepresented
relevant facts relating to the insured's health.
D. 1. No long-term care insurance policy or certificate may be
field-issued based on medical or health status.
2. For purposes of this section, "field-issued" means a policy
or certificate issued by an agent or a third-party administrator
pursuant to the underwriting authority granted to the agent or
third-party administrator by an insurer.
E. If an insurer has paid benefits under the long-term care
insurance policy or certificate, the benefit payments may not be
recovered by the insurer in the event that the policy or certificate
is rescinded.
F. Provided further, if under the provisions of this section
said policy or certificate is rescinded by the insurer, then in that
event the insured shall be refunded within thirty (30) days of
rescission all premiums paid to the insurer by the insured for the
policy or certificate.
Status: in_force · Read it on the official government site
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