R.C.S.A. § 38a-501-9
Definitions
Cite as Conn. Agencies Regs. § 38a-501-9
As used in Sections 38a-501-8 to 38a-501-24, inclusive:
(a) "Long-term care policy" means any individual health insurance policy, or any individual
subscriber contract, or any amendment, endorsement or rider to any such policy or
subscriber contract delivered or issued for delivery to any resident of this state
which is designed to provide benefits on an expense-incurred, indemnity or prepaid
basis for necessary care or treatment of an injury, illness or loss of functional
capacity provided by a certified or licensed health care provider in a setting other
than an acute care hospital, for at least one year after a reasonable elimination
period. A long-term care policy shall provide benefits for confinement in a nursing
home or confinement in the insured's own home or both. Any additional benefits provided
shall be related to long-term treatment of an injury, illness or loss of functional
capacity. "Long-term care policy" shall not include any such policy, contract or certificate
which is offered primarily to provide basic Medicare supplement coverage, basic medical-surgical
expense coverage, hospital confinement indemnity coverage, major medical expense coverage,
disability income protection coverage, accident only coverage, specified accident
coverage or limited benefit health coverage.
(b) "Applicant" means the person who seeks to contract for insurance benefits.