Section 27-8-12-10.6 - Conditions on eligibility for benefits; restrictions(a) A long term care insurance policy may not be delivered or issued for delivery in Indiana if the policy: (1) conditions eligibility for any benefits on a prior hospitalization requirement;(2) conditions eligibility for benefits provided in an institutional care setting on the receipt of a higher level of institutional care; or(3) conditions eligibility for a benefit other than: (D) recuperative benefits; on a prior institutionalization requirement.
(b) A long term care insurance policy containing a postconfinement, postacute, or recuperative benefit must clearly label in a separate paragraph of the policy a statement entitled "limitations or conditions on eligibility for benefits". Under the statement, the policy must outline any limitations or conditions for benefits.(c) A long term care insurance policy or rider that conditions eligibility of noninstitutional benefits on the prior receipt of institutional care must not require a prior institutional stay of more than thirty (30) days.(d) A long term care insurance policy or rider that provides benefits only following institutionalization may not condition such benefits upon admission to a facility for the same or related conditions within a period of less than thirty (30) days after discharge from the institution.As added by P.L. 114-1991, SEC.13.