HRS §431:10H-210
Reinstating a lapsed long-term care policy
This section requires long-term care insurance policies to include a reinstatement option if the policy lapsed because the insured lost mental or physical capacity before the grace period ended. The insured can ask for reinstatement within five months after termination and must pay any past-due premiums. The proof required cannot be stricter than the policy's own benefit rules.
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The statute, as written — Reinstatement
In addition to the requirements of sections 431:10H-208 and 431:10H-209, 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 cognitively impaired or had a loss of functional capacity before the grace period contained in the policy expired. This option shall be available to the insured if requested within five months after termination and shall allow for the collection of past due premium, where appropriate. The standard of proof of cognitive impairment or loss of functional capacity shall not be more stringent than the benefit eligibility criteria on cognitive impairment or the loss of functional capacity contained in the policy and certificate.
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