Montana Code 53-6-804. Rulemaking and certification of policies by commissioner and department
53-6-804. Rulemaking and certification of policies by commissioner and department. (1) The commissioner and the department may by rule adopt requirements for certification of long-term care insurance policies and certificates. These requirements may include but are not limited to:
Terms Used In Montana Code 53-6-804
- Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
- Commissioner: means the commissioner of insurance provided for in 2-15-1903. See Montana Code 53-6-802
- Department: means the department of public health and human services provided for in 2-15-2201. See Montana Code 53-6-802
- Long-term care insurance: means an insurance policy or certificate that provides coverage for medically necessary services in a long-term care facility, as defined in 50-5-101, or in the insured's home. See Montana Code 53-6-802
(a)minimum levels and durations of benefits;
(b)mandatory inflation protection;
(c)mandatory home and community care coverage;
(d)case management; and
(e)procedures for the insured to appeal a denial of benefits.
(2)The commissioner and the department shall review long-term care insurance policies and certificates to determine whether policies and certificates meet the requirements for certification pursuant to this section.