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<law><site_title>Virginia Decoded</site_title><site_url>https://vacode.org</site_url><law_id>61118</law_id><section_number>38.2-5206.1</section_number><catch_line>Rate increases; notice requirements</catch_line><edition url="https://vacode.org/2025/" slug="2025" current="TRUE" last_updated="">2025</edition><structure><unit label="title" level="1" order_by="1" identifier="38.2">Insurance</unit><unit label="chapter" level="2" order_by="1" identifier="52">Long-Term Care Insurance</unit></structure><text>
						<section id="A"><p><span class="prefix-number">A.</span> Within 60 days of filing for a <span class="dictionary">rate</span> increase with the <span class="dictionary">Commission</span>, an <span class="dictionary">insurer</span> providing <span class="dictionary">long-term care insurance</span> policies in the Commonwealth shall <span class="dictionary">issue</span> a written notice to each policyholder that the <span class="dictionary">insurer</span> has filed for a <span class="dictionary">rate</span> increase that includes the following: <a id="paragraph-223425" class="section-permalink" href="https://vacode.org/38.2-5206.1/#A"><i class="fa fa-link"/></a></p></section>
						<section id="A1" class="indent-1"><p><span class="prefix-number">1.</span> The reasoning for which the <span class="dictionary">insurer</span> is requesting a <span class="dictionary">rate</span> increase; <a id="paragraph-223426" class="section-permalink" href="https://vacode.org/38.2-5206.1/#A1"><i class="fa fa-link"/></a></p></section>
						<section id="A2" class="indent-1"><p><span class="prefix-number">2.</span> The amount of the <span class="dictionary">rate</span> increase requested, expressed as a percentage; <a id="paragraph-223427" class="section-permalink" href="https://vacode.org/38.2-5206.1/#A2"><i class="fa fa-link"/></a></p></section>
						<section id="A3" class="indent-1"><p><span class="prefix-number">3.</span> Directions on how to obtain information about the <span class="dictionary">Commission</span>&#x2019;s review of the <span class="dictionary">rate</span> case via the <span class="dictionary">Commission</span>&#x2019;s website; <a id="paragraph-223428" class="section-permalink" href="https://vacode.org/38.2-5206.1/#A3"><i class="fa fa-link"/></a></p></section>
						<section id="A4" class="indent-1"><p><span class="prefix-number">4.</span> Contact information for the <span class="dictionary">Commission</span>, including the <span class="dictionary">Commission</span>&#x2019;s website, email address, and toll-free telephone number; <a id="paragraph-223429" class="section-permalink" href="https://vacode.org/38.2-5206.1/#A4"><i class="fa fa-link"/></a></p></section>
						<section id="A5" class="indent-1"><p><span class="prefix-number">5.</span> A statement informing the policyholder of his right to provide comments to the <span class="dictionary">Commission</span> on the proposed <span class="dictionary">rate</span> increase and how to submit such comments to the <span class="dictionary">Commission</span>, including all available options via phone, website, and mail; <a id="paragraph-223430" class="section-permalink" href="https://vacode.org/38.2-5206.1/#A5"><i class="fa fa-link"/></a></p></section>
						<section id="A6" class="indent-1"><p><span class="prefix-number">6.</span> Information on how to contact the <span class="dictionary">insurer</span> for more information, including the <span class="dictionary">insurer</span>&#x2019;s website, email address, and toll-free telephone number; and <a id="paragraph-223431" class="section-permalink" href="https://vacode.org/38.2-5206.1/#A6"><i class="fa fa-link"/></a></p></section>
						<section id="A7" class="indent-1"><p><span class="prefix-number">7.</span> A statement that the notice provides information on a proposed <span class="dictionary">rate</span> increase and that the <span class="dictionary">insurer</span> will notify the policyholder of the <span class="dictionary">Commission</span>&#x2019;s approval or denial of the proposed <span class="dictionary">rate</span> increase. <a id="paragraph-223432" class="section-permalink" href="https://vacode.org/38.2-5206.1/#A7"><i class="fa fa-link"/></a></p></section>
						<section id="B"><p><span class="prefix-number">B.</span> In addition to any written notice required by subsection A, an <span class="dictionary">insurer</span> subject to the provisions of this chapter that has filed for a <span class="dictionary">rate</span> increase with the <span class="dictionary">Commission</span> shall: <a id="paragraph-223433" class="section-permalink" href="https://vacode.org/38.2-5206.1/#B"><i class="fa fa-link"/></a></p></section>
						<section id="B1" class="indent-1"><p><span class="prefix-number">1.</span> If the <span class="dictionary">Commission</span> denies the proposed <span class="dictionary">rate</span> increase, <span class="dictionary">issue</span> a written notice to each policyholder of the <span class="dictionary">Commission</span>&#x2019;s denial of the proposed <span class="dictionary">rate</span> increase within 90 days of the final decision by the <span class="dictionary">Commission</span>; or <a id="paragraph-223434" class="section-permalink" href="https://vacode.org/38.2-5206.1/#B1"><i class="fa fa-link"/></a></p></section>
						<section id="B2" class="indent-1"><p><span class="prefix-number">2.</span> If the <span class="dictionary">Commission</span> approves any proposed <span class="dictionary">rate</span> increase, <span class="dictionary">issue</span> a written notice to each policyholder of the <span class="dictionary">Commission</span>&#x2019;s approval of the proposed <span class="dictionary">rate</span> increase at least 90 days before the effective date of such approved <span class="dictionary">rate</span> increase that includes the following:
				a. Information related to why the policyholder will incur a <span class="dictionary">rate</span> increase;
				b. The total change to the policyholder&#x2019;s plan, including any total increase in premiums, expressed as a percentage and dollar amount of the current premium, and any changes in benefits. For phased-in increases, the notice shall include information about phase-in dates with corresponding premium amounts and plan options available to the policyholder, including information on how to select a plan option not subject to the <span class="dictionary">rate</span> increase;
				c. The <span class="dictionary">insurer</span>&#x2019;s contact information, including the <span class="dictionary">insurer</span>&#x2019;s website, email address, and toll-free telephone number;
				d. The <span class="dictionary">Commission</span>&#x2019;s contact information, including the <span class="dictionary">Commission</span>&#x2019;s website, email address, and toll-free telephone number; and
				e. Information about the Virginia Insurance Counseling and Assistance Program administered by the Department for Aging and Rehabilitative Services. <a id="paragraph-223435" class="section-permalink" href="https://vacode.org/38.2-5206.1/#B2"><i class="fa fa-link"/></a></p></section>
						<section id="C"><p><span class="prefix-number">C.</span> The notices required by subsections A and B shall use an easy-to-read font and plain language, present options fairly, and include appropriate definitions, disclosures, visualization tools, and referrals to external resources. <a id="paragraph-223436" class="section-permalink" href="https://vacode.org/38.2-5206.1/#C"><i class="fa fa-link"/></a></p></section>
						<section id="D"><p><span class="prefix-number">D.</span> In reviewing requests to increase <span class="dictionary">long-term care insurance</span> <span class="dictionary"><span class="dictionary">rates</span></span>, the <span class="dictionary">Commission</span> shall, to the extent practicable, consider how the <span class="dictionary">rate</span> increase will impact policyholders. <a id="paragraph-223437" class="section-permalink" href="https://vacode.org/38.2-5206.1/#D"><i class="fa fa-link"/></a></p></section>
						<section id="E"><p><span class="prefix-number">E.</span> The <span class="dictionary">Commission</span> is authorized to promulgate regulations as necessary to implement the provisions of this section and develop additional guidance regarding the notices required by this section. <a id="paragraph-223438" class="section-permalink" href="https://vacode.org/38.2-5206.1/#E"><i class="fa fa-link"/></a></p></section></text><history>2024, c. 315.</history><metadata></metadata></law>
