| (a) Prior approval requirements. Each long-term partnership
policy or certificate, including any long-term care partnership endorsement,
that is to be delivered or issued for delivery in this state must
comply with the requirements specified in paragraphs (1) and (2) of
this subsection before being delivered or issued in this state.
(1) Each long-term care partnership policy, certificate,
or endorsement must be filed with the department and approved by the
commissioner in accordance with the requirements and procedures set
forth in Subchapter A of this chapter (relating to Submission Requirements
for Filings and Departmental Actions Related to Such Filings) and
subsections (b) and (c) of this section, as applicable.
(2) Each long-term care partnership policy, certificate,
or endorsement filing must include Form Number LHL570(LTC) Long-Term
Care Partnership Program Insurer Certification Form, as specified
in Figure: 28 TAC §3.3873(a)(2)(F). The following requirements
and procedures apply to this certification form:
(A) The text in the certification form must be in at
least 10-point type and must follow the order of the information presented
in Figure: 28 TAC §3.3873(a)(2)(F).
(B) The text in the certification form as specified
in Figure: 28 TAC §3.3873(a)(2)(F) is mandated; the format for
the form is a recommended format. An insurer may format the mandated
text in a different format from that specified in Figure: 28 TAC §3.3873(a)(2)(F)
if the insurer files the certification form for review and approval
by the commissioner.
(C) Any certification form that is filed for approval
pursuant to subparagraph (B) of this paragraph must be filed no later
than 60 days prior to use in any filing of a policy, certificate or
endorsement submitted pursuant to subsection (c) or (d) of this section
and is subject to the requirements and procedures set forth in Subchapter
A of this chapter.
(D) Any certification form filed pursuant to subparagraph
(B) of this paragraph should be filed with the Texas Department of
Insurance, Life and Health Division, Filings Intake, MC-LH-LHL, P.O.
Box 12030, Austin, Texas 78711-2030.
(E) Form Number LHL570(LTC) may be obtained from the
Texas Department of Insurance, Life and Health Division, Life and
Health Lines, MC-LH-LHL, P.O. Box 12030, Austin, Texas 78711-2030,
or from the department's website at www.tdi.texas.gov/forms.
(F) A representation of Form Number LHL570(LTC) Long-Term
Care Partnership Program Insurer Certification Form is as follows:
Attached Graphic
(b) Policies not previously approved. Any policy or
certificate, including any endorsement, that has not been previously
approved by the commissioner must comply with the requirements specified
in paragraphs (1) - (4) of this subsection prior to an insurer offering
the policy for sale in Texas as a partnership policy:
(1) The policy, certificate, or endorsement must be
filed with the department and approved by the commissioner, and Form
Number LHL570(LTC) as specified in subsection (a)(2)(F) of this section
must be filed for each policy, certificate, or endorsement form submitted
for partnership policy approval.
(2) The policy, certificate, or endorsement form must
be in at least 10-point type.
(3) Any filing made pursuant to paragraph (1) of this
subsection must be filed no later than 60 days prior to use and is
subject to the requirements and procedures set forth in Subchapter
A of this chapter.
(4) The filing should be submitted to the Texas Department
of Insurance, Life and Health Division, Filings Intake, MC-LH-LHL,
P.O. Box 12030, Austin, Texas 78711-2030.
(c) Previously approved policies. Insurers requesting
to use a previously approved non-partnership policy form as a long-term
care partnership policy must comply with the requirements specified
in paragraphs (1) - (6) of this subsection prior to offering the policy
for sale in Texas as a partnership policy:
(1) The insurer must file Form Number LHL570(LTC) Long-Term
Care Partnership Program Insurer Certification Form as specified in
subsection (a)(2)(F) of this section and must include a copy of any
endorsement that is needed to comply with partnership policy requirements.
(2) The policy form number(s) or other identifying
information, such as certificate series, must be provided on Form
Number LHL570(LTC) as a part of the filing.
(3) The filing must be approved by the commissioner
prior to an insurer offering the policy for sale in Texas as a partnership
policy.
(4) The policy or certificate does not have to be included
in the filing if it has been previously filed and approved by the
commissioner.
(5) Any filing made pursuant to this subsection must
be filed no later than 60 days prior to use and is subject to the
requirements and procedures set forth in Subchapter A of this chapter.
(6) The filing should be submitted to the Texas Department
of Insurance, Life and Health Division, Filings Intake, MC-LH-LHL,
P.O. Box 12030, Austin, Texas 78711-2030.
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