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PRINTER'S NO. 136
THE GENERAL ASSEMBLY OF PENNSYLVANIA
HOUSE BILL
No.
168
Session of
2021
INTRODUCED BY DeLUCA, SANCHEZ, CONKLIN, HILL-EVANS, FREEMAN,
IRVIN, LONGIETTI, SIMS AND CIRESI, JANUARY 14, 2021
REFERRED TO COMMITTEE ON INSURANCE, JANUARY 14, 2021
AN ACT
Amending the act of May 17, 1921 (P.L.682, No.284), entitled "An
act relating to insurance; amending, revising, and
consolidating the law providing for the incorporation of
insurance companies, and the regulation, supervision, and
protection of home and foreign insurance companies, Lloyds
associations, reciprocal and inter-insurance exchanges, and
fire insurance rating bureaus, and the regulation and
supervision of insurance carried by such companies,
associations, and exchanges, including insurance carried by
the State Workmen's Insurance Fund; providing penalties; and
repealing existing laws," in long-term care, further
providing for disclosure and performance standards for long-
term care insurance.
The General Assembly of the Commonwealth of Pennsylvania
hereby enacts as follows:
Section 1. Section 1105 of the act of May 17, 1921 (P.L.682,
No.284), known as The Insurance Company Law of 1921, is amended
by adding a subsection to read:
Section 1105. Disclosure and Performance Standards for Long-
term Care Insurance.--* * *
(d) The issuer of a long-term care insurance policy that
files with the department for a rate increase shall, at the time
of submission of the filing to the department, send notice to
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each policyholder who may be subject to the proposed rate
increase. The notice may be sent by mail or electronically, as
the policyholder has designated. The notice shall, in language
suitable for consumers:
(1) Inform the policyholder of the opportunity to provide
comments to the department concerning the filing during the
department's review period in accordance with section 303 of the
act of December 18, 1996 (P.L.1066, No.159), known as the
"Accident and Health Filing Reform Act." Policyholders shall
have not less than thirty (30) days in which to comment.
(2) Provide an explanation of the requested rate increase,
which includes the following:
(i) An explanation of the most significant factors causing
the rate increase.
(ii) Information on the following:
(A) Historical and projected claims experience.
(B) Trend projections related to utilization and service or
unit cost.
(C) Allocation of the overall rate increase to claims and
nonclaims costs.
(D) Per enrollee per month allocation of current and
projected premiums.
(E) A ten-year history of rate increases for the product.
Section 2. This act shall take effect in 180 days.
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