HRS §431:10H-217
How your long-term care policy decides when benefits are paid
This section says your long-term care insurance policy must explain, in plain words, how it measures your need for care. It must use daily living activities and cognitive impairment as the basis. Any other conditions for getting benefits must also be clearly described in the policy.
The statute, as written — Disclosure; benefit triggers
Activities of daily living and cognitive impairment shall be used to measure an insured's need for long-term care and shall be described in the policy or certificate in a separate paragraph and shall be labeled "Eligibility for the Payment of Benefits". Any additional benefit triggers shall also be explained in this section. If these benefit triggers differ for different benefits, explanation of the trigger shall accompany each benefit description. If an attending physician, advanced practice registered nurse, or other specified person is required to certify a certain level of functional dependency in order to be eligible for benefits, this requirement shall be specified.
LawTrove is not legal advice. The summary above is a computer-generated restatement — the authoritative text is the official version linked above.