Washington Administrative Code › Title 284 - Insurance Commissioner, Office of the › Chapter 284-83 - Long-term care insurance rules › Section 284-83-067 - Notice to applicant regarding replacement of direct-marketed individual accident and sickness or long-term care insurance

Current through Register Vol. 24-14, July 15, 2024
The following notice is required by WAC
				284-83-060(4):
NOTICE TO APPLICANT REGARDING REPLACEMENT OF [ACCIDENT AND
				SICKNESS] [HEALTH] OR LONG-TERM CARE INSURANCE
[Insurance company's name and address]
SAVE THIS NOTICE! IT MAY BE IMPORTANT TO YOU IN THE
				FUTURE.
According to [your application] [information you have
				furnished], you intend to lapse or otherwise terminate existing [accident and
				sickness] [health] or long-term care insurance and replace it with the
				long-term care insurance policy delivered herewith issued by [company name]
				insurance company. Your new policy provides thirty days within which you may
				decide, without cost, whether you desire to keep the policy. For your own
				information and protection, you should be aware of and seriously consider
				certain factors which may affect the insurance protection available to you
				under the new policy.
You should review this new coverage carefully, comparing it
				with all [accident and sickness] [health] or long-term care insurance coverage
				you now have, and terminate your present policy only if, after due
				consideration, you find that purchase of this long-term care coverage is a wise
				decision.
(1) Health conditions which
			 you may presently have (preexisting conditions), may not be immediately or
			 fully covered under the new policy. This could result in denial or delay in
			 payment of benefits under the new policy, whereas a similar claim might have
			 been payable under your present policy.
(2) State law provides that your replacement
			 policy or certificate may not contain new preexisting conditions or
			 probationary periods. Your insurer will waive any time periods applicable to
			 preexisting conditions or probationary periods in the new policy (or coverage)
			 for similar benefits to the extent such time was spent (depleted) under the
			 original policy.
(3) If you are
			 replacing existing long-term care insurance coverage, you may wish to secure
			 the advice of your present insurer or its [agent] [insurance producer]
			 regarding the proposed replacement of your present policy. This is not only
			 your right, but it is also in your best interest to make sure you understand
			 all the relevant factors involved in replacing your present coverage.
(4) [To be included only if the application
			 is attached to the policy.] If, after due consideration, you still wish to
			 terminate your present policy and replace it with new coverage, read the copy
			 of the application attached to your new policy and be sure that all questions
			 are answered fully and correctly. Omissions or misstatements in the application
			 could cause an otherwise valid claim to be denied. Carefully check the
			 application and write to [company name and address] within thirty (30) days if
			 any information is not correct and complete, or if any past medical history has
			 been left out of the application.
[Company Name]
Statutory Authority:
				  RCW
				  48.02.060,
				  48.83.070,
				  48.83.110,
				  48.83.120,
				  48.83.130(1), and
				  48.83.140(4)(a).
				  08-24-019 (Matter No. R 2008-09), §
										284-83-067, filed 11/24/08,
				  effective 12/25/08.
Reviser's note:
The brackets and enclosed
				  material in the text of the above section occurred in the copy filed by the
				  agency.