62S.15 AUTHORIZED LIMITATIONS AND EXCLUSIONS.
No policy may 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:(1) preexisting conditions or diseases;(2) mental or nervous disorders; except that the exclusion or limitation of benefits on the basis of Alzheimer's disease is
prohibited;(3) alcoholism and drug addiction;(4) illness, treatment, or medical condition arising out of war or act of war; participation in a felony, riot, or insurrection;
service in the armed forces or auxiliary units; suicide, attempted suicide, or intentionally self-inflicted injury; or non-fare-paying
aviation; (5) treatment provided in a government facility unless otherwise required by law, services for which benefits are available
under Medicare or other government program except Medicaid, state or federal workers' compensation, employer's liability or
occupational disease law, motor vehicle no-fault law; services provided by a member of the covered person's immediate family;
and services for which no charge is normally made in the absence of insurance; and(6) expenses for services or items available or paid under another long-term care insurance or health insurance policy.This subdivision does not prohibit exclusions and limitations by type of provider or territorial limitations.
History: 1997 c 71 art 1 s 15; 2006 c 255 s 42; 2006 c 282 art 17 s 8