20 CSR 400-4.050
General Instructions
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 LongTerm 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.
(2) Availability. The above forms are published by the Missouri Department of Commerce and Insurance, PO Box 690, Jefferson
City, MO 65102. The forms do not include
any amendments or additions. The forms are
available at the department’s office in Jefferson City, Missouri, on the department website, www.insurance.mo.gov, or by mailing a
written request to the Missouri Department
of Commerce and Insurance, PO Box 690,
Jefferson City, Missouri 65102.
(3) Filing Fees. All reports, filings, or
amendments to reports required to be filed by
insurers under this chapter shall be accompanied by a filing fee of fifty dollars ($50) as
required by section 374.230(5), RSMo.
AUTHORITY: section 374.045, RSMo 2000
and section 381.042, RSMo Supp. 2007.*
Original rule filed Nov. 15, 2007, effective
July 30, 2008. Non-substantive change filed
Sept. 11, 2019, published Oct. 31, 2019.
*Original authority: 374.045, RSMo 1967, amended
1993, 1995 and 381.042, RSMo 2000, amended 2007.