Arkansas Insurance Department Medicare Supplement and Long-Term Care Minimum Standards

What this document is

Arkansas Insurance Department Medicare Supplement and Long-Term Care Minimum Standards - 23 CAR Part 89 (AID Rule 27, Minimum Standards for Medicare Supplement Policies) and 23 CAR Part 84 (AID Rule 13, Long-Term Care Insurance) is a regulation published by codeofarrules.arkansas.gov. It is one of the Arkansas documents that insurance license exam questions are written from, including arkansas life & health practice questions. This page summarizes it and points to the official version, which is the text to rely on.

Sections cited in practice questions

Each practice answer shows the exact passage it comes from. These are sections of this document that questions cite, with a short excerpt from the source text.

• Ark. Ins. Dep't Rule 23 CAR § 84-105 (Policy practices and provisions: limitations and exclusions)

  “A policy may not be delivered or issued for delivery in this state as long-term care insurance if the policy limits or excludes coverage by type of illness, treatment, medical condition, or accident, except as follows: (1) Preexisting conditions or diseases; (2)(A) Mental or nervous disorders. (B)...”

• Ark. Ins. Dep't Rule 23 CAR § 89-105 (Policy provisions: prohibited fees)

  “No Medicare supplement policy or certificate may include a policy fee or any other similar charge. (2) Applicants cannot be required to pay any fee other than the approved premium.”

• 23 CAR pt. 84 s. 84-110(c)(3) (Prohibition against post-claims underwriting, applicants age eighty or older)

  “(3) Prior to issuance of a long-term care policy or certificate to an applicant age eighty (80) or older, the insurer shall obtain one (1) of the following: (A) A report of a physical examination; (B) An assessment of functional capacity; (C) An attending physician’s statement; or (D) Copies of medical records.”

• 23 CAR pt. 84 s. 84-106(2) (Unintentional lapse, reinstatement)

  “(A) In addition to the requirement in subdivision (1) of this section, a long-term care insurance policy or certificate shall include a provision that provides for reinstatement of coverage in the event of lapse if the insurer is provided proof that the policyholder or certificate holder was...”

• 23 CAR pt. 89 s. 89-118(a) and (b) (Permitted compensation arrangements)

  “(a) An issuer or other entity may provide commission or other compensation to an agent or producer or other representative for the sale of a Medicare supplement policy or certificate only if the first-year commission or other first-year compensation is no more than two hundred percent (200%) of the...”

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