Section 26-A2600. APPLICABILITY AND SCOPE

 

2600.1Except as otherwise specifically provided, this regulation applies to all long-term care insurance policies and life insurance policies that accelerate benefits for long-term care delivered or issued for delivery in the District of Columbia on or after the effective date by insurers; fraternal benefit societies; nonprofit health, hospital and medical service corporations; prepaid health plans; health maintenance organizations and all similar organizations.

 

2600.2Additionally, this regulation is intended to apply to policies having indemnity benefits that are triggered by activities of daily living and sold as disability income insurance, under the following conditions:

 

a.If the benefits of the disability income policy are dependent upon or vary in amount based on the receipt of long-term care services;

 

b.If the disability income policy is advertised, marketed or offered as insurance for long-term care services; or

 

c.If benefits under the policy may commence after the policyholder has reached Social Security's normal retirement age unless benefits are designed to replace lost income or pay for specific expenses other than long-term care services.

 

source

Final Rulemaking published at 52 DCR 10902 (December 16, 2005).