<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".10" citation="COMAR 31.14.02.10" title_num="31" subtitle_num="14" chapter_num="02" heading="Reserve Standards.">
  <paragraph num="A.">
    <text>Life Insurance Policies That Accelerate Benefits for Long-Term Care.</text>
    <paragraph num="(1)">
      <text>This section applies to long-term care benefits that are provided through the acceleration of benefits under group or individual life insurance policies or riders to group or individual life insurance policies.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Policy reserves for the benefits for the policies and riders subject to this section shall be determined in accordance with Insurance Article, Title 5, Subtitle 3, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Claim reserves for the policies and riders subject to this section shall be established in the case when the policy or rider is in claim status.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Except as permitted in §A(5) of this regulation, reserves for policies and riders subject to this section shall be based on the multiple decrement model utilizing all relevant decrements except for voluntary termination rates.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>An insurer may determine the reserves based on single decrement approximations, if:</text>
      <paragraph num="(a)">
        <text>The calculation produces essentially similar reserves as the calculation described in §A(4) of this regulation;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The calculation produces a reserve that is clearly more conservative than the calculation described in §A(4) of this regulation; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The reserve is immaterial.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(6)">
      <text>The calculations described in §A(4) and (5):</text>
      <paragraph num="(a)">
        <text>May take into account the reduction in life insurance benefits due to the payment of long-term care benefits; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>May not result in a reserve that is less than the reserve for the life insurance benefit under the policy, without a long-term care benefit.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>In the development and calculation of reserves for policies and riders subject to this section, due regard shall be given to the applicable policy provisions, marketing methods, administrative procedures, and all other considerations which have an impact on projected claim costs, including, but not limited to the following:</text>
      <paragraph num="(a)">
        <text>Definition of insured events;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Covered long-term care facilities;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Existence of home convalescence care coverage;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Definition of facilities;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Existence or absence of barriers to eligibility;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Premium waiver provision;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Renewability;</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Ability to raise premiums;</text>
      </paragraph>
      <paragraph num="(i)">
        <text>Marketing method;</text>
      </paragraph>
      <paragraph num="(j)">
        <text>Underwriting procedures;</text>
      </paragraph>
      <paragraph num="(k)">
        <text>Claims adjustment procedures;</text>
      </paragraph>
      <paragraph num="(l)">
        <text>Waiting period;</text>
      </paragraph>
      <paragraph num="(m)">
        <text>Maximum benefit;</text>
      </paragraph>
      <paragraph num="(n)">
        <text>Availability of eligible facilities;</text>
      </paragraph>
      <paragraph num="(o)">
        <text>Margins in claim costs;</text>
      </paragraph>
      <paragraph num="(p)">
        <text>Optional nature of benefit;</text>
      </paragraph>
      <paragraph num="(q)">
        <text>Delay in eligibility for benefit;</text>
      </paragraph>
      <paragraph num="(r)">
        <text>Inflation protection provisions; and</text>
      </paragraph>
      <paragraph num="(s)">
        <text>Guaranteed insurability option.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(8)">
      <text>Any applicable valuation morbidity table used by the insurer shall be certified as appropriate as a statutory valuation table by a member of the American Academy of Actuaries.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>When long-term care benefits are provided other than as described in §A of this regulation, reserves shall be determined in accordance with Regulations .11—.14 of this chapter.</text>
  </paragraph>
</regulation>