California 2015 2015-2016 Regular Session

California Assembly Bill AB310 Introduced / Bill

Filed 02/12/2015

 BILL NUMBER: AB 310INTRODUCED BILL TEXT INTRODUCED BY Assembly Member Mathis FEBRUARY 12, 2015 An act to amend Section 10231.2 of the Insurance Code, relating to long-term care insurance. LEGISLATIVE COUNSEL'S DIGEST AB 310, as introduced, Mathis. Long-term care insurance. Existing law provides for the regulation of long-term care insurance, as defined, and requires the Insurance Commissioner to review and approve individual and group policies, certificates, riders, and outlines of coverage. This bill would make technical, nonsubstantive changes to that provision. Vote: majority. Appropriation: no. Fiscal committee: no. State-mandated local program: no. THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS: SECTION 1. Section 10231.2 of the Insurance Code is amended to read: 10231.2.  (a)    "Long-term care insurance" includes any insurance policy, certificate, or rider advertised, marketed, offered, solicited, or designed to provide coverage for diagnostic, preventive, therapeutic, rehabilitative, maintenance, or personal care services that are provided in a setting other than an acute care unit of a hospital. Long-term care insurance includes all products containing any of the following benefit types: coverage for institutional care including care in a nursing home, convalescent facility, extended care facility, custodial care facility, skilled nursing facility, or personal care home; home care coverage including home health care, personal care, homemaker services, hospice, or respite care; or community-based coverage including adult day care, hospice, or respite care. Long-term care insurance includes disability based long-term care policies but does not include insurance designed primarily to provide Medicare supplement or major medical expense coverage.  Long-term   (b)     Long-term  care policies, certificates, and riders shall be regulated under this chapter. The commissioner shall review and approve individual and group  long-term care  policies, certificates, riders, and outlines of coverage. Other applicable laws and regulations shall also apply to long-term care insurance insofar as they do not conflict with the provisions in this chapter. Long-term care benefits designed to provide coverage of 12 months or more that are contained in or amended to Medicare supplement or other disability policies and certificates shall be regulated under this chapter.