{"data":{"id":"us-ut/utah-code-31a-22-1407","jurisdiction":"us-ut","citation":"Utah Code § 31A-22-1407","heading":"Restricted conditional terms.","body":"(1) A long-term care insurance policy may not contain a provision that conditions eligibility:\n(a) for any benefits on a prior hospitalization requirement;\n(b) for benefits provided in an institutional care setting on the receipt of a higher level of institutional care; or\n(c) for any benefits on a prior institutionalization requirement except for eligibility for:\n(i) waiver of premium;\n(ii) post confinement;\n(iii) post-acute care; or\n(iv) recuperative benefits.\n(2) A long-term care insurance policy containing post confinement, post-acute care, or recuperative benefits shall clearly label the limitations or conditions, including any required number of days of confinement in a separate paragraph of the policy or certificate that is entitled \"Limitations or Conditions on Eligibility for Benefits.\"\n(3) A long-term care insurance policy or rider that conditions eligibility of noninstitutional benefits on the prior receipt of institutional care may not require a prior institutional stay of more than 30 days.","path":["Title 31A Insurance Code","Chapter 31A-22 Contracts in Specific Lines","Part 31A-22-14 Long-Term Care Insurance Standards"],"source_url":"https://le.utah.gov/xcode/Title31A/Chapter22/31A-22-S1407.html","current_through":"2026 General Session","vintage":"","retrieved_at":"2026-09-03T11:34:33Z","sha256":"5a148d7e5d93f2724b1b2340184e3d6ca7764768525ad99c12c01d0a0ef6597d","source_id":"us-ut","stale":false,"prev":"us-ut/utah-code-31a-22-1406","next":"us-ut/utah-code-31a-22-1408"},"notice":"GroundRules: Original legal text. Not legal advice."}