NDAC 45-06-05.1-17
Life insurance long-term care benefits
Cite as N.D. Admin. Code ยง 45-06-05.1-17
1.
A life insurance policy that funds long-term care benefits entirely by accelerating the death
benefit is considered to provide reasonable benefits in relation to premiums paid, if the policy
complies with all of the following provisions:
a.
The interest credited internally to determine cash value accumulations, including
long-term care, if any, are guaranteed not to be less than the minimum guaranteed
interest rate for cash value accumulations without long-term care set forth in the policy;
b.
The portion of the policy that provides life insurance benefits meets the nonforfeiture
requirements of North Dakota Century Code sections 26.1-33-18 through 26.1-33-28;
c.
The policy meets the disclosure requirements of subsections 4, 5, and 6 of North Dakota
Century Code section 26.1-45-09;
d.
Any policy illustration that meets the applicable requirements of the national association
of insurance commissioners life insurance illustrations model regulation; and
e.
An actuarial memorandum is filed with the insurance department that includes:
(1)
A description of the basis on which the long-term care rates were determined;
(2)
A description of the basis for the reserves;
(3)
A summary of the type of policy, benefits, renewability, general marketing method,
and limits on ages of issuance;
(4)
A description and a table of each actuarial assumption used. For expenses, an
insurer must include a percentage of premium dollars per policy and dollars per unit
of benefits, if any;
(5)
A description and a table of the anticipated policy reserves and additional reserves
to be held in each future year for active lives;
(6)
The estimated average annual premium per policy and the average issue age;
(7)
A statement as to whether underwriting is performed at the time of application. The
statement shall indicate whether underwriting is used and, if used, the statement
shall include a description of the type or types of underwriting used, such as medical
underwriting or functional assessment underwriting. Concerning a group policy, the
statement shall indicate whether the enrollee or any dependent will be underwritten
and when underwriting occurs; and
(8)
A description of the effect of the long-term care policy provision on the required
premiums, nonforfeiture values, and reserves on the underlying life insurance policy,
both for active lives and those in long-term care claim status.