19 MAC Pt. 3, R. 8.11
Requirement to Offer Inflation Protection
Cite as 19 Miss. Admin. Code Pt. 3, R. 8.11
Requirement to Offer Inflation Protection
A. No insurer may offer a long-term care insurance policy unless the insurer also offers
to the policyholder the option to purchase a policy that provides for benefit levels to
increase with benefit maximums or reasonable durations which are meaningful to
account for reasonably anticipated increases in the cost of long-term care services
covered by the policy. Insurers must offer to each policyholder, at the time of
purchase, the option to purchase a policy with an inflation protection feature no less
favorable than one of the following:
1.
Increases benefit levels annually, (in a manner so that the increases are
compounded annually);
2.
Guarantees the insured individual the right to periodically increase benefit
levels without providing evidence of insurability or health status so long as
the option for the previous period has not been
declined; or
3.
Covers a specified percentage of actual or reasonable charges.
B. Where the policy is issued to a group, the required offer in Subsection A above shall be
made to the group policyholder; except, if the policy is issued to a group defined in
Section 4E(4) of this Regulation, other than to a continuing care retirement community,
the offering shall be made to each proposed certificate holder.
C. The offer in Subsection A above shall no be required of:
1.
Life insurance policies or riders containing accelerated long-term care benefits,
nor
2.
Expense incurred long-term care insurance policies.
D. Insurers shall include the following information in or with the outline of coverage:
1.
A graphic comparison of the benefit levels of a policy that increases benefits
over the policy period with a policy that does not
increase benefits. The
graphic comparison shall show benefit levels over at least a twenty (20) year
period.
2.
Any expected premium increases or additional premiums to pay for automatic
or optional benefit increases. If premium increases or additional premiums will
be based on the attained age of the applicant at the time of the increase, the
insurer shall also disclose the magnitude of the potential premiums the applicant
would need to pay at ages 75 and 85 for benefit increases.
3.
An insurer may use a reasonable hypothetical, or a graphic demonstration, for
the purposes of this disclosure.