Okla. Stat. tit. 36, § 36-4426.2
This is the official text of Okla. Stat. tit. 36, § 36-4426.2, 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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Nonforfeiture benefits
Official statutory text
A. 1. No insurer may offer a long-term care insurance policy
unless the insurer also offers to the applicant the option to
purchase a policy that provides for nonforfeiture benefits.
2. This section shall not apply to life insurance policies or
riders containing accelerated long-term care benefits.
3. For certificates issued on or after the effective date of
this act, under a group long-term care insurance policy as defined
in Section 4424 of Title 36 of the Oklahoma Statutes, which policy
was in force at the time this act became effective, the provisions
of this section shall not apply.
B. The Insurance Commissioner shall promulgate rules which are
consistent with the National Association of Insurance Commissioners
(NAIC) Long-Term Care Model Regulation and which specify the types
of nonforfeiture benefits to be included in policies and
certificates, the standards for the benefits, and the date
nonforfeiture benefits must commence.
Oklahoma Statutes - Title 36. Insurance Page 974
C. 1. For purposes of this section, the nonforfeiture benefit
shall be a shortened benefit period providing paid-up long-term care
insurance coverage after lapse. The same benefit amounts and
frequency in effect at the time of lapse, but not increased
thereafter, shall be payable for a qualifying claim, but the
lifetime maximum dollars or days of benefits shall be determined as
specified in paragraph 3 of this subsection.
2. Nonforfeiture benefits for qualified long-term care
insurance contracts shall include at least a reduced paid-up
insurance benefit, an extended term insurance benefit, the offer of
a shortened benefit period, or other similar offerings approved by
the Insurance Commissioner, and shall be provided as specified in
regulations. The issuer of such a contract may refund premiums upon
the death of the insured or upon complete surrender or cancellation
of the contract or policy, as long as the refund does not exceed the
aggregate premiums paid for the contract or policy.
3. The standard nonforfeiture credit shall be equal to one
hundred percent (100%) of the sum of all premiums paid, including
the premiums paid prior to any changes in benefits. The insurer may
offer additional shortened benefit period options, as long as the
benefits for each duration equal or exceed the standard
nonforfeiture credit for that duration. However for lapses
occurring at the end of the third policy year and thereafter, the
minimum nonforfeiture credit shall not be less than thirty (30)
times the daily nursing home benefit at the time of lapse. In
either event, the calculation of the nonforfeiture credit is subject
to the limitation set forth in subsection D of this section.
4. Nonforfeiture credits may be used for all care and services
qualifying for benefits under the terms of the policy or
certificate, up to the limits specified in the policy or
certificate.
5. There shall be no difference in the minimum nonforfeiture
benefits as required under this section for group and individual
policies.
D. All benefits paid by the insurer while the policy or
certificate is in premium paying status and in paid-up status shall
not exceed the maximum benefits which would have been payable if the
policy or certificate had remained in premium paying status.
unless the insurer also offers to the applicant the option to
purchase a policy that provides for nonforfeiture benefits.
2. This section shall not apply to life insurance policies or
riders containing accelerated long-term care benefits.
3. For certificates issued on or after the effective date of
this act, under a group long-term care insurance policy as defined
in Section 4424 of Title 36 of the Oklahoma Statutes, which policy
was in force at the time this act became effective, the provisions
of this section shall not apply.
B. The Insurance Commissioner shall promulgate rules which are
consistent with the National Association of Insurance Commissioners
(NAIC) Long-Term Care Model Regulation and which specify the types
of nonforfeiture benefits to be included in policies and
certificates, the standards for the benefits, and the date
nonforfeiture benefits must commence.
Oklahoma Statutes - Title 36. Insurance Page 974
C. 1. For purposes of this section, the nonforfeiture benefit
shall be a shortened benefit period providing paid-up long-term care
insurance coverage after lapse. The same benefit amounts and
frequency in effect at the time of lapse, but not increased
thereafter, shall be payable for a qualifying claim, but the
lifetime maximum dollars or days of benefits shall be determined as
specified in paragraph 3 of this subsection.
2. Nonforfeiture benefits for qualified long-term care
insurance contracts shall include at least a reduced paid-up
insurance benefit, an extended term insurance benefit, the offer of
a shortened benefit period, or other similar offerings approved by
the Insurance Commissioner, and shall be provided as specified in
regulations. The issuer of such a contract may refund premiums upon
the death of the insured or upon complete surrender or cancellation
of the contract or policy, as long as the refund does not exceed the
aggregate premiums paid for the contract or policy.
3. The standard nonforfeiture credit shall be equal to one
hundred percent (100%) of the sum of all premiums paid, including
the premiums paid prior to any changes in benefits. The insurer may
offer additional shortened benefit period options, as long as the
benefits for each duration equal or exceed the standard
nonforfeiture credit for that duration. However for lapses
occurring at the end of the third policy year and thereafter, the
minimum nonforfeiture credit shall not be less than thirty (30)
times the daily nursing home benefit at the time of lapse. In
either event, the calculation of the nonforfeiture credit is subject
to the limitation set forth in subsection D of this section.
4. Nonforfeiture credits may be used for all care and services
qualifying for benefits under the terms of the policy or
certificate, up to the limits specified in the policy or
certificate.
5. There shall be no difference in the minimum nonforfeiture
benefits as required under this section for group and individual
policies.
D. All benefits paid by the insurer while the policy or
certificate is in premium paying status and in paid-up status shall
not exceed the maximum benefits which would have been payable if the
policy or certificate had remained in premium paying status.
Status: in_force · Read it on the official government site
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