§ 8093 - Denial of claims; written explanation
§ 8093. Denial of claims; written explanation
If a claim under a long-term care insurance contract is denied, the issuer shall, within 60 days of the date of a written request by the policyholder or certificate holder, or a representative thereof:
(1) Provide a written explanation of the reasons for the denial; and
(2) Make available all information directly related to the denial. (Added 2003, No. 124 (Adj. Sess.), § 2, eff. Jan. 1, 2005.)