<?xml version='1.0' encoding='utf-8'?>
<section article="gin" article_name="Insurance" number="18-109" title_number="18" title_name="Long-Term Care Insurance" subtitle_number="1">
  <level label="a">
    <text>Except as provided in subsection (b) of this section, a policy or certificate of long-term care insurance may not be delivered or issued for delivery in the State if the policy or certificate limits or excludes coverage by type of illness, treatment, medical condition, or accident.</text>
  </level>
  <level label="b">
    <text>A policy or certificate of long–term care insurance may limit or exclude coverage of:</text>
    <level label="1">
      <text>preexisting conditions or diseases;</text>
    </level>
    <level label="2">
      <text>mental or nervous conditions or diseases other than Alzheimer’s disease;</text>
    </level>
    <level label="3">
      <text>alcohol or drug addiction;</text>
    </level>
    <level label="4">
      <text>unless otherwise provided by State or federal law, treatment provided in a government facility;</text>
    </level>
    <level label="5">
      <text>services provided by a member of the covered individual’s immediate family;</text>
    </level>
    <level label="6">
      <text>services for which a charge normally is not made in the absence of insurance;</text>
    </level>
    <level label="7">
      <text>services for which benefits are available under:</text>
      <level label="i">
        <text>Medicare or other governmental programs except Medicaid; or</text>
      </level>
      <level label="ii">
        <text>a State or federal workers’ compensation, employer’s liability, or occupational disease law; and</text>
      </level>
    </level>
    <level label="8">
      <text>illness, treatment, or medical conditions arising out of:</text>
      <level label="i">
        <text>a declared or undeclared war or act of war;</text>
      </level>
      <level label="ii">
        <text>participation in a felony, riot, or insurrection;</text>
      </level>
      <level label="iii">
        <text>service in the uniformed services or auxiliary units;</text>
      </level>
      <level label="iv">
        <text>suicide, attempted suicide, or intentionally self–inflicted injury; or</text>
      </level>
      <level label="v">
        <text>aviation, if the insured is a passenger who does not pay a fare.</text>
      </level>
    </level>
  </level>
  <level label="c">
    <text>This section does not prohibit:</text>
    <level label="1">
      <text>exclusions and limitations by type of provider; or</text>
    </level>
    <level label="2">
      <text>limitations by territory.</text>
    </level>
  </level>
</section>
