                                 CODE OF VIRGINIA

DEFINITIONS (§ 38.2-5200)

As used in this chapter:
		&#8220;Applicant&#8221; means in the case of an individual long-term care
insurance policy, the person who seeks to contract for such benefits, or in the
case of a group long-term care insurance policy, the proposed certificateholder.
		&#8220;Certificate&#8221; means any certificate or evidence of coverage issued
under a group long-term care insurance policy, which policy has been delivered
or issued for delivery in this Commonwealth.
		&#8220;Group long-term care insurance&#8221; means a long-term care insurance
policy delivered or issued for delivery in this Commonwealth to any group which
complies with § 38.2-3521.1.
		&#8220;Long-term care insurance&#8221; means any insurance policy or rider
advertised, marketed, offered or designed to provide coverage for not less than
twelve consecutive months for each covered person on an expense incurred,
indemnity, prepaid, or other basis, for one or more necessary or medically
necessary diagnostic, preventive, therapeutic, rehabilitative, maintenance,
personal care, mental health or substance abuse services, provided in a setting
other than an acute care unit of a hospital. Such term includes group and
individual annuities and life insurance policies or riders that provide directly
or that supplement long-term care insurance. Such term shall also include
qualified long-term insurance contracts. Long-term care insurance may be issued
by insurers, fraternal benefit societies, health services plans, health
maintenance organizations, cooperative nonprofit life benefit companies or
mutual assessment life, accident and sickness insurers to the extent they are
otherwise authorized to issue life or accident and sickness insurance. Health
maintenance organizations, cooperative nonprofit life benefit companies and
mutual assessment life, accident and sickness insurers may apply to the
Commission for approval to provide long-term care insurance.
		&#8220;Policy&#8221; means any individual or group policy of insurance,
contract, subscriber agreement, certificate, rider or endorsement delivered or
issued for delivery in this Commonwealth by an insurer, fraternal benefit
society, health services plan, health maintenance organization or any similar
organization.
		&#8220;Qualified long-term care insurance policy&#8221; or &#8220;federally
tax-qualified long-term care insurance contract&#8221; means an individual or
group insurance policy or contract that meets the requirements of § 7702B (b)
of the Internal Revenue Code of 1986, as amended. Such term shall also include
the portion of a life insurance policy or contract that provides long-term care
insurance coverage by rider or as part of the contract and that satisfies the
requirements of §§ 7702B (b) and 7702B (e) of the Internal Revenue Code of
1986, as amended.

HISTORY: 1987, c. 586; 1990, c. 285; 2000, c. 559.