Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 400 - Life, Annuities and Health › Chapter 4 - Long-Term Care › Section 20 CSR 400-4.050 - General Instructions

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule prescribes the general filing
				  requirements for the rules in this chapter.
PUBLISHER'S NOTE: The secretary of state has
				  determined that the publication of the entire text of the material which is
				  incorporated by reference as a portion of this rule would be unduly cumbersome
				  or expensive. This material as incorporated by reference in this rule shall be
				  maintained by the agency at its headquarters and shall be made available to the
				  public for inspection and copying at no more than the actual cost of
				  reproduction. This note applies only to the reference material. The entire text
				  of the rule is printed here.
(1) Filing and Report Forms. The following
				forms have been adopted and approved for use in this state and are incorporated
				by reference:
(A) The Rescission Reporting
				Form for Long-Term Care Policies (Form LTC-A), approved as Appendix A to the
				Long-Term Care Model Regulation adopted by the National Association of
				Insurance Commissioners and printed as model #641 in October 2007, or any form
				which substantially comports with the specified form;
(B) The Long-Term Care Insurance Personal
				Worksheet Form (Form LTC-B), approved as Appendix B to the Long-Term Care Model
				Regulation adopted by the National Association of Insurance Commissioners and
				printed as model #641 in October 2007, or any form which substantially comports
				with the specified form;
(C) The
				Things You Should Know Before You Buy Long-Term Care Insurance Form (Form
				LTC-C), approved as Appendix C to the Long-Term Care Model Regulation adopted
				by the National Association of Insurance Commissioners and printed as model
				#641 in October 2007, or any form which substantially comports with the
				specified form;
(D) The Long-Term
				Care Insurance Suitability Letter Form (Form LTC-D), approved as Appendix D to
				the Long-Term Care Model Regulation adopted by the National Association of
				Insurance Commissioners and printed as model #641 in October 2007, or any form
				which substantially comports with the specified form;
(E) The Claims Denial Reporting Form (Form
				LTC-E), approved as Appendix E to the Long-Term Care Model Regulation adopted
				by the National Association of Insurance Commissioners and printed as model
				#641 in October 2007, or any form which substantially comports with the
				specified form;
(F) The Potential
				Rate Increase Disclosure Form (Form LTC-F), approved as Appendix F to the
				Long-Term Care Model Regulation adopted by the National Association of
				Insurance Commissioners and printed as model #641 in October 2007, or any form
				which substantially comports with the specified form;
(G) The Replacement and Lapse Reporting Form
				(Form LTC-G), approved as Appendix G to the Long-Term Care Model Regulation
				adopted by the National Association of Insurance Commissioners and printed as
				model #641 in October 2007, or any form which substantially comports with the
				specified form;
(H) The Notice to
				Applicant Regarding Replacement of Individual Accident and Sickness or
				Long-Term Care Insurance (Form LTC-1), approved in Section 14 of the Long-Term
				Care Model Regulation adopted by the National Association of Insurance
				Commissioners and printed as model #641 in October 2007, or any form which
				substantially comports with the specified form;
(I) The Notice to Applicant Regarding
				Replacement of Accident and Sickness or Long-Term Care Insurance (Form LTC-2),
				approved in Section 14 of the Long-Term Care Model Regulation adopted by the
				National Association of Insurance Commissioners and printed as model #641 in
				October 2007, or any form which substantially comports with the specified
				form;
(J) The Outline of Coverage
				Form (Form LTC-3), approved in Section 31 of the Long-Term Care Model
				Regulation adopted by the National Association of Insurance Commissioners and
				printed as model #641 in October 2007, or any form which substantially comports
				with the specified form;
(K) The
				Long-Term Care Partnership Exchange Notification Form (Form LTC-4), revised on
				March 10, 2008, or any form which substantially comports with the specified
				form;
(L) The Partnership Program
				Policy Certification Form (Form LTC-5), revised on March 10, 2008, or any form
				which substantially comports with the specified form;
(M) The Missouri's Long-Term Care Insurance
				Partnership Disclosure Notice Form (Form LTC-6), revised on March 10, 2008, or
				any form which substantially comports with the specified form; and
(N) The Missouri's Long-Term Care Insurance
				Partnership Delivery Notice Form (Form LTC-7), revised on March 10, 2008, or
				any form which substantially comports with the specified form.