Limitations and exclusions

HRS §431:10H-203, under Chapter 431.

HRS §431:10H-203

§431:10H-203 Limitations and exclusions. (a) 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:

(b) This section is not intended to prohibit exclusions and limitations by type of provider. However, no long-term care issuer may deny a claim because services are provided in a state other than the state of policy issue under the following conditions:

For purposes of this subsection, "state of policy issue" means the state in which the individual policy or certificate was originally issued.

(c) This section is not intended to prohibit territorial limitations. [L 1999, c 93, pt of §2; am L 2007, c 233, §12]