# COMAR Title 31 — Maryland Insurance Administration

## Subtitle 14 — Long-Term Care

### Chapter 03 — Long-Term Care Partnership

#### Regulation .08 Required Provision of Information Regarding A Partnership Policy.

*COMAR 31.14.03.08*

A. Except as provided in §C of this regulation, at the request of the insured or a representative of the Department on behalf of an insured, a carrier shall provide a completed Long-Term Care Partnership Program Policy Summary in the form set forth in §D of this regulation.

B. The completed Long-Term Care Partnership Program Policy Summary required by §A of this regulation shall be:

  (1) Provided within 14 days after the date the carrier receives the request from the insured or the representative of the Department on behalf of the insured; and

  (2) Given to:

    (a) The insured, if the request for the Long-Term Care Partnership Program Policy Summary was received from the insured; or

    (b) The insured and the representative of the Department, if the request for the Long-Term Care Partnership Program Policy Summary was received from a representative of the Department on behalf of the insured.

C. A carrier may develop its own partnership policy summary to provide the information found in the Long-Term Care Partnership Program Policy Summary form in §D of this regulation, if the carrier's policy summary includes all of the information and content found in the Long-Term Care Partnership Program Policy Summary form in §D of this regulation.

D. The format and required text of the Long-Term Care Partnership Program Policy Summary referred to in §A of this regulation shall read as follows:

  1. Name of insured __________________________

  2. Insured's Social Security # ______________

  3. Insured's Date of Birth __________________

  4. Policy/certificate number _______________

  5. Effective date of coverage ______________

  6. The policy/certificate was issued in the state of: _______________

  7. Issue age of the insured at the time the coverage was issued _______________

  8. The policy/certificate was issued ? With ? Without inflation coverage

  9. The inflation coverage is:

  10. The inflation coverage is currently in effect [ ] Yes  [ ] No

  11. If the answer to item 10 is no, the date inflation coverage ceased:__________

  12. The policy meets the standards of a tax qualified long-term care insurance policy [ ] Yes  [ ] No

  13. The cumulative dollar amount of long-term care insurance benefits paid: $__________

  14. The total dollar amount of long-term care insurance benefits remaining available under the policy $ __________ as of the date this form was completed __________.

  15. The name, phone number, and email address of the person completing this form

E. A carrier shall provide to the Department within 45 days after issuance of a partnership policy, the following information:

  (1) Name of the insured;

  (2) Insured's Social Security number;

  (3) Insured's date of birth; and

  (4) Policy or certificate number.

F. A carrier shall provide reports to the Centers for Medicare and Medicaid Services in accordance with federal regulations developed, including any information that is deemed appropriate according to federal requirements.