R.C.S.A. § 38a-458-5
Disclosures
Cite as Conn. Agencies Regs. § 38a-458-5
(a) Descriptive title. The face of a policy providing long-term care benefits shall contain the following:
(1) a description of coverage which uses the terminology "long-term care benefits";
(2) the following statement: "Benefits as specified under this life insurance policy will
be reduced upon receipt of long-term care benefits."
(b) Tax consequences. Disclosure is required, at the time of application and at the time the long-term
care benefits payment request is submitted, of the potential tax implications of receiving
this payout. The disclosure statement shall indicate the extent to which the receipt
of long-term care benefits may be taxable and that the insured should seek assistance
from his personal tax advisor. Such disclosure shall be prominently displayed in bold-face
type and contrasting color on the first page of the policy or rider and any other
related documents.
(c) Solicitations.
(1) Prior to or concurrently with the application, the applicant shall be given a written
disclosure including, but not necessarily limited to, a brief description of the long-term
care benefits and an explanation of any effect of the payment of the benefits on the
policy's cash value, accumulation account, death benefit, premium, policy loans and
policy liens. In the event of direct mail solicitations, the disclosure shall be made
upon acceptance of the application.
(2) In addition, if there is a premium or cost of insurance charge, the applicant shall
also be given a generic illustration numerically demonstrating any effect the payment
of benefits will have on the policy's cash value, accumulation account, death benefit,
premium, policy loans and policy liens. In the event of direct mail solicitations,
the disclosure shall be made at the time of solicitation or upon acceptance of the
application.
(d) Effect of the benefits payment. When a policyowner or certificateholder requests long-term care benefits, the insurer
shall send a statement to the policyowner, certificateholder, assignee and irrevocable
beneficiary showing any effect that the payment of the long-term care benefits will
have on the policy's cash value, accumulation account, death benefit, premium, policy
loans and policy liens. The statement shall disclose what adverse affect, if any,
the actual or constructive receipt of the long-term care benefits payments may have
on the recipient's eligibility for Medicaid or other government benefits or entitlements.
When a previous disclosure statement becomes invalid as a result of a long-term care
benefits payment, the insurer shall send a revised disclosure statement to the policyowner,
certificateholder, assignee and irrevocable beneficiary. When the insurer agrees to
pay long-term care benefits, the insurer shall issue a new or amended schedule page
to the policy to reflect any new, reduced in-force face amount of the contract.