Kan. Admin. Regs. § 40-4-37b
Current through Register Vol. 43, No. 49, December 5, 2024
Section 40-4-37b - Long-term care insurance; marketing practices; prohibitions; limitationsA policy shall not be advertised, described, solicited, delivered or issued for delivery in this state as long-term care insurance if the policy, contract or rider limits or excludes coverage by type of illness, treatment, medical condition or accident, except for the following:
(a) Mental or nervous disorders without demonstrable organic disease. This provision shall not exclude coverage for loss which results from organic brain disease, including alzheimer's disease or senile dementia; (b) alcoholism and drug addiction; (c) illness, treatment, medical condition or accident arising from: (1) Participation in a felony, riot or insurrection; (2) suicide, attempted suicide, or intentionally self-inflicted injury, whether sane or insane; (4) war or act of war, whether declared or undeclared; (d) benefits provided under medicare or governmental programs other than medicaid, any state or federal workers' compensation or employer's liability or occupational disease law; (e) services performed by a member of the covered person's immediate family; and (f) services for which no charge is normally made in the absence of insurance. Kan. Admin. Regs. § 40-4-37b
Authorized by K.S.A. 40-103, K.S.A. 1991 Supp. 40-2228; implementing K.S.A. 1991 Supp. 40-2228; effective Jan. 4, 1993.