{"law_id":"789138","section_number":"38.2-5205","catch_line":"Prior institutionalization","history":"1987, c. 586; 1990, c. 285.","order_by":null,"metadata":false,"court_decisions":{},"official_url":"http:\/\/law.lis.virginia.gov\/vacode\/38.2-5205\/","refers_to":false,"url":"\/38.2-5205\/","token":"38.2\/52\/38.2-5205","structure":{"1":{"id":"972","name":"Long-term Care Insurance","identifier":"52","label":"chapter","url":"\/38.2\/52\/"},"2":{"id":"7","name":"Insurance","identifier":"38.2","label":"title","url":"\/38.2\/"}},"referred_to_by":false,"edition_id":"11","section_id":"789138","structure_id":"972","full_text":"A No long-term care insurance policy may be delivered or issued for delivery in this Commonwealth if such policy conditions eligibility (i) for any benefits provided in an institutional care setting on the receipt of a higher level of institutional care or (ii) for any benefits on a prior hospitalization requirement.\r\rB A long-term care insurance policy containing any limitations or conditions for eligibility other than those prohibited in subsection A shall clearly label such limitations or conditions, including any required number of days of confinement, in a separate paragraph of the policy or certificate entitled “Limitations or Conditions on Eligibility for Benefits.”\r\rC A long-term care insurance policy containing a benefit advertised, marketed or offered as a home health care or home care benefit may not condition receipt of benefits on a prior institutionalization requirement.\r\rD A long-term care insurance policy which conditions eligibility of noninstitutional benefits on the prior receipt of institutional care shall not require a prior institutional stay of more than thirty days for which benefits are paid.\r\r","text":{"0":{"id":"2546333","text":"No long-term care insurance policy may be delivered or issued for delivery in this Commonwealth if such policy conditions eligibility (i) for any benefits provided in an institutional care setting on the receipt of a higher level of institutional care or (ii) for any benefits on a prior hospitalization requirement.","type":"section","prefixes":["A"],"prefix":"A","entire_prefix":"A","prefix_anchor":"A","level":1},"1":{"id":"2546334","text":"A long-term care insurance policy containing any limitations or conditions for eligibility other than those prohibited in subsection A shall clearly label such limitations or conditions, including any required number of days of confinement, in a separate paragraph of the policy or certificate entitled “Limitations or Conditions on Eligibility for Benefits.”","type":"section","prefixes":["B"],"prefix":"B","entire_prefix":"B","prefix_anchor":"B","level":1},"2":{"id":"2546335","text":"A long-term care insurance policy containing a benefit advertised, marketed or offered as a home health care or home care benefit may not condition receipt of benefits on a prior institutionalization requirement.","type":"section","prefixes":["C"],"prefix":"C","entire_prefix":"C","prefix_anchor":"C","level":1},"3":{"id":"2546336","text":"A long-term care insurance policy which conditions eligibility of noninstitutional benefits on the prior receipt of institutional care shall not require a prior institutional stay of more than thirty days for which benefits are paid.","type":"section","prefixes":["D"],"prefix":"D","entire_prefix":"D","prefix_anchor":"D","level":1}},"ancestry":{"1":{"id":"972","name":"Long-term Care Insurance","identifier":"52","label":"chapter","url":"\/38.2\/52\/"},"2":{"id":"7","name":"Insurance","identifier":"38.2","label":"title","url":"\/38.2\/"}},"structure_contents":{"0":{"id":"784744","structure_id":"972","section_number":"38.2-5200","catch_line":"Definitions","url":"\/38.2-5200\/","token":"38.2\/52\/38.2-5200"},"1":{"id":"770303","structure_id":"972","section_number":"38.2-5201","catch_line":"What laws applicable","url":"\/38.2-5201\/","token":"38.2\/52\/38.2-5201"},"2":{"id":"768746","structure_id":"972","section_number":"38.2-5202","catch_line":"Promulgation of regulations; standards for policy provisions","url":"\/38.2-5202\/","token":"38.2\/52\/38.2-5202"},"3":{"id":"777798","structure_id":"972","section_number":"38.2-5202.1","catch_line":"Refund of premium for cancellation or termination of policy","url":"\/38.2-5202.1\/","token":"38.2\/52\/38.2-5202.1"},"4":{"id":"766427","structure_id":"972","section_number":"38.2-5203","catch_line":"Prohibited provisions","url":"\/38.2-5203\/","token":"38.2\/52\/38.2-5203"},"5":{"id":"772241","structure_id":"972","section_number":"38.2-5204","catch_line":"Preexisting conditions","url":"\/38.2-5204\/","token":"38.2\/52\/38.2-5204"},"6":{"id":"789138","structure_id":"972","section_number":"38.2-5205","catch_line":"Prior institutionalization","url":"\/38.2-5205\/","token":"38.2\/52\/38.2-5205"},"7":{"id":"770699","structure_id":"972","section_number":"38.2-5206","catch_line":"Rates","url":"\/38.2-5206\/","token":"38.2\/52\/38.2-5206"},"8":{"id":"777764","structure_id":"972","section_number":"38.2-5207","catch_line":"Disclosure","url":"\/38.2-5207\/","token":"38.2\/52\/38.2-5207"},"9":{"id":"782845","structure_id":"972","section_number":"38.2-5207.1","catch_line":"Disclosure; life insurance policies","url":"\/38.2-5207.1\/","token":"38.2\/52\/38.2-5207.1"},"10":{"id":"765796","structure_id":"972","section_number":"38.2-5207.2","catch_line":"Long-term care benefits; monthly report","url":"\/38.2-5207.2\/","token":"38.2\/52\/38.2-5207.2"},"11":{"id":"778868","structure_id":"972","section_number":"38.2-5208","catch_line":"Right to return; free look provision","url":"\/38.2-5208\/","token":"38.2\/52\/38.2-5208"},"12":{"id":"793718","structure_id":"972","section_number":"38.2-5209","catch_line":"Incontestability","url":"\/38.2-5209\/","token":"38.2\/52\/38.2-5209"},"13":{"id":"780528","structure_id":"972","section_number":"38.2-5210","catch_line":"Nonforfeiture benefit","url":"\/38.2-5210\/","token":"38.2\/52\/38.2-5210"}},"previous_section":{"id":"772241","structure_id":"972","section_number":"38.2-5204","catch_line":"Preexisting conditions","url":"\/38.2-5204\/","token":"38.2\/52\/38.2-5204"},"next_section":{"id":"770699","structure_id":"972","section_number":"38.2-5206","catch_line":"Rates","url":"\/38.2-5206\/","token":"38.2\/52\/38.2-5206"},"references":false,"formats":{"txt":"\/38.2-5205.txt","json":"\/38.2-5205.json","xml":"\/38.2-5205.xml"},"dublin_core":{"Title":"Prior institutionalization","Type":"Text","Format":"text\/html","Identifier":"\u00a7 38.2-5205","Relation":"Code of Virginia"},"plain_text":"                                 CODE OF VIRGINIA\n\nPRIOR INSTITUTIONALIZATION (\u00a7 38.2-5205)\n\nA. No long-term care insurance policy may be delivered or issued for delivery in\nthis Commonwealth if such policy conditions eligibility (i) for any benefits\nprovided in an institutional care setting on the receipt of a higher level of\ninstitutional care or (ii) for any benefits on a prior hospitalization\nrequirement.\n\nB. A long-term care insurance policy containing any limitations or conditions\nfor eligibility other than those prohibited in subsection A shall clearly label\nsuch limitations or conditions, including any required number of days of\nconfinement, in a separate paragraph of the policy or certificate entitled\n“Limitations or Conditions on Eligibility for Benefits.”\n\nC. A long-term care insurance policy containing a benefit advertised, marketed\nor offered as a home health care or home care benefit may not condition receipt\nof benefits on a prior institutionalization requirement.\n\nD. A long-term care insurance policy which conditions eligibility of\nnoninstitutional benefits on the prior receipt of institutional care shall not\nrequire a prior institutional stay of more than thirty days for which benefits\nare paid.\n\nHISTORY: 1987, c. 586; 1990, c. 285."}