<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.sf7a19fac-7791-49f1-abe9-0dc71abe81e9Normal { text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.sf7a19fac-7791-49f1-abe9-0dc71abe81e9DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sf7a19fac-7791-49f1-abe9-0dc71abe81e9DefaultParagraphFont-000000 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sf7a19fac-7791-49f1-abe9-0dc71abe81e9000001 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.sf7a19fac-7791-49f1-abe9-0dc71abe81e9Normal-000002 { margin-left: 0.50in; margin-right: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-bottom: .001pt; } span.sf7a19fac-7791-49f1-abe9-0dc71abe81e9000003 { font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sf7a19fac-7791-49f1-abe9-0dc71abe81e9DefaultParagraphFont-000004 { color: #0000FF; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="sf7a19fac-7791-49f1-abe9-0dc71abe81e9Normal"><span xml:space="preserve" class="sf7a19fac-7791-49f1-abe9-0dc71abe81e9DefaultParagraphFont">    </span><span class="sf7a19fac-7791-49f1-abe9-0dc71abe81e9DefaultParagraphFont-000000">20:06:21:41.  Applications -- Notice about incorrect answers.</span><span xml:space="preserve" class="sf7a19fac-7791-49f1-abe9-0dc71abe81e9DefaultParagraphFont"> Except for policies or certificates which are guaranteed issue, the following language must be set out conspicuously and in close conjunction with the applicant's signature block on an application for a long-term care insurance policy or certificate:</span></p><p dir="ltr" class="sf7a19fac-7791-49f1-abe9-0dc71abe81e9Normal"><span xml:space="preserve" class="sf7a19fac-7791-49f1-abe9-0dc71abe81e9000001"> </span></p><p dir="ltr" class="sf7a19fac-7791-49f1-abe9-0dc71abe81e9Normal-000002"><span class="sf7a19fac-7791-49f1-abe9-0dc71abe81e9DefaultParagraphFont-000000">Caution: If your answers on this application are incorrect or untrue, (company) has the right to deny benefits or rescind your policy.</span></p><p dir="ltr" class="sf7a19fac-7791-49f1-abe9-0dc71abe81e9Normal"><span xml:space="preserve" class="sf7a19fac-7791-49f1-abe9-0dc71abe81e9000003"> </span></p><p dir="ltr" class="sf7a19fac-7791-49f1-abe9-0dc71abe81e9Normal"><span xml:space="preserve" class="sf7a19fac-7791-49f1-abe9-0dc71abe81e9DefaultParagraphFont">    </span><span class="sf7a19fac-7791-49f1-abe9-0dc71abe81e9DefaultParagraphFont-000000">Source:</span><span xml:space="preserve" class="sf7a19fac-7791-49f1-abe9-0dc71abe81e9DefaultParagraphFont"> 23 SDR 55, effective </span><span class="sf7a19fac-7791-49f1-abe9-0dc71abe81e9DefaultParagraphFont">October 20, 1996.</span></p><p dir="ltr" class="sf7a19fac-7791-49f1-abe9-0dc71abe81e9Normal"><span xml:space="preserve" class="sf7a19fac-7791-49f1-abe9-0dc71abe81e9DefaultParagraphFont">    </span><span class="sf7a19fac-7791-49f1-abe9-0dc71abe81e9DefaultParagraphFont-000000">General Authority:</span><span xml:space="preserve" class="sf7a19fac-7791-49f1-abe9-0dc71abe81e9DefaultParagraphFont"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=58-17B-4"><span class="sf7a19fac-7791-49f1-abe9-0dc71abe81e9DefaultParagraphFont-000004">58-17B-4</span></a><span class="sf7a19fac-7791-49f1-abe9-0dc71abe81e9DefaultParagraphFont">.</span></p><p dir="ltr" class="sf7a19fac-7791-49f1-abe9-0dc71abe81e9Normal"><span xml:space="preserve" class="sf7a19fac-7791-49f1-abe9-0dc71abe81e9DefaultParagraphFont">    </span><span class="sf7a19fac-7791-49f1-abe9-0dc71abe81e9DefaultParagraphFont-000000">Law Implemented:</span><span xml:space="preserve" class="sf7a19fac-7791-49f1-abe9-0dc71abe81e9DefaultParagraphFont"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=58-17B-4"><span class="sf7a19fac-7791-49f1-abe9-0dc71abe81e9DefaultParagraphFont-000004">58-17B-4</span></a><span xml:space="preserve" class="sf7a19fac-7791-49f1-abe9-0dc71abe81e9DefaultParagraphFont">, </span><a href="https://sdlegislature.gov/Statutes?Statute=58-17B-6"><span class="sf7a19fac-7791-49f1-abe9-0dc71abe81e9DefaultParagraphFont-000004">58-17B-6</span></a><span class="sf7a19fac-7791-49f1-abe9-0dc71abe81e9DefaultParagraphFont">.</span></p><p dir="ltr" class="sf7a19fac-7791-49f1-abe9-0dc71abe81e9Normal"><span xml:space="preserve" class="sf7a19fac-7791-49f1-abe9-0dc71abe81e9000001"> </span></p></div></body></html>