<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.sffddb683-2718-48b9-80eb-b27e3756d0adNormal { 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.sffddb683-2718-48b9-80eb-b27e3756d0adDefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sffddb683-2718-48b9-80eb-b27e3756d0adDefaultParagraphFont-000000 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sffddb683-2718-48b9-80eb-b27e3756d0ad000001 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sffddb683-2718-48b9-80eb-b27e3756d0adDefaultParagraphFont-000002 { 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="sffddb683-2718-48b9-80eb-b27e3756d0adNormal"><span xml:space="preserve" class="sffddb683-2718-48b9-80eb-b27e3756d0adDefaultParagraphFont">    </span><span class="sffddb683-2718-48b9-80eb-b27e3756d0adDefaultParagraphFont-000000">20:06:21:49.  Incontestability period.</span><span xml:space="preserve" class="sffddb683-2718-48b9-80eb-b27e3756d0adDefaultParagraphFont"> The following incontestability periods must be complied with for long-term care policies:</span></p><p dir="ltr" class="sffddb683-2718-48b9-80eb-b27e3756d0adNormal"><span xml:space="preserve" class="sffddb683-2718-48b9-80eb-b27e3756d0ad000001"> </span></p><p dir="ltr" class="sffddb683-2718-48b9-80eb-b27e3756d0adNormal"><span xml:space="preserve" class="sffddb683-2718-48b9-80eb-b27e3756d0adDefaultParagraphFont">    (1)  For a policy or certificate that has been in force for less than six months, an insurer may rescind a long-term care insurance policy or certificate or deny an otherwise valid long-term care insurance claim upon a showing of misrepresentation that is material to the acceptance for coverage;</span></p><p dir="ltr" class="sffddb683-2718-48b9-80eb-b27e3756d0adNormal"><span xml:space="preserve" class="sffddb683-2718-48b9-80eb-b27e3756d0ad000001"> </span></p><p dir="ltr" class="sffddb683-2718-48b9-80eb-b27e3756d0adNormal"><span xml:space="preserve" class="sffddb683-2718-48b9-80eb-b27e3756d0adDefaultParagraphFont">    (2)  For a policy or certificate that has been in force for at least six months but less than two years, an insurer may rescind a long-term care insurance policy or certificate or deny an otherwise valid long-term care insurance claim upon a showing of misrepresentation that is both material to the acceptance for coverage and which pertains to the condition for which benefits are sought;</span></p><p dir="ltr" class="sffddb683-2718-48b9-80eb-b27e3756d0adNormal"><span xml:space="preserve" class="sffddb683-2718-48b9-80eb-b27e3756d0ad000001"> </span></p><p dir="ltr" class="sffddb683-2718-48b9-80eb-b27e3756d0adNormal"><span xml:space="preserve" class="sffddb683-2718-48b9-80eb-b27e3756d0adDefaultParagraphFont">    (3)  After a policy or certificate has been in force for two years, it is not contestable upon the grounds of misrepresentation alone; the policy or certificate may be contested only upon a showing that the insured knowingly and intentionally misrepresented relevant facts relating to the insured's health;</span></p><p dir="ltr" class="sffddb683-2718-48b9-80eb-b27e3756d0adNormal"><span xml:space="preserve" class="sffddb683-2718-48b9-80eb-b27e3756d0ad000001"> </span></p><p dir="ltr" class="sffddb683-2718-48b9-80eb-b27e3756d0adNormal"><span xml:space="preserve" class="sffddb683-2718-48b9-80eb-b27e3756d0adDefaultParagraphFont">    (4)  A long-term care insurance policy or certificate may be field-issued if the compensation to the field issuer is not based on the number of policies or certificates issued. For purposes of this section, field-issued means a policy or certificate issued by an agent or a third-party administrator pursuant to the underwriting authority granted to the agent or third party administrator by an insurer and using the insurer's underwriting guidelines;</span></p><p dir="ltr" class="sffddb683-2718-48b9-80eb-b27e3756d0adNormal"><span xml:space="preserve" class="sffddb683-2718-48b9-80eb-b27e3756d0ad000001"> </span></p><p dir="ltr" class="sffddb683-2718-48b9-80eb-b27e3756d0adNormal"><span xml:space="preserve" class="sffddb683-2718-48b9-80eb-b27e3756d0adDefaultParagraphFont">    (5)  If an insurer has paid benefits under the long-term care insurance policy or certificate, the benefit payments may not be recovered by the insurer if the policy or certificate is rescinded.</span></p><p dir="ltr" class="sffddb683-2718-48b9-80eb-b27e3756d0adNormal"><span xml:space="preserve" class="sffddb683-2718-48b9-80eb-b27e3756d0ad000001"> </span></p><p dir="ltr" class="sffddb683-2718-48b9-80eb-b27e3756d0adNormal"><span xml:space="preserve" class="sffddb683-2718-48b9-80eb-b27e3756d0adDefaultParagraphFont">    </span><span class="sffddb683-2718-48b9-80eb-b27e3756d0adDefaultParagraphFont-000000">Source:</span><span xml:space="preserve" class="sffddb683-2718-48b9-80eb-b27e3756d0adDefaultParagraphFont"> 23 SDR 55, effective </span><span xml:space="preserve" class="sffddb683-2718-48b9-80eb-b27e3756d0adDefaultParagraphFont">October 20, 1996; 33 SDR 230, effective </span><span class="sffddb683-2718-48b9-80eb-b27e3756d0adDefaultParagraphFont">July 2, 2007.</span></p><p dir="ltr" class="sffddb683-2718-48b9-80eb-b27e3756d0adNormal"><span xml:space="preserve" class="sffddb683-2718-48b9-80eb-b27e3756d0adDefaultParagraphFont">    </span><span class="sffddb683-2718-48b9-80eb-b27e3756d0adDefaultParagraphFont-000000">General Authority:</span><span xml:space="preserve" class="sffddb683-2718-48b9-80eb-b27e3756d0adDefaultParagraphFont"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=58-17B-4"><span class="sffddb683-2718-48b9-80eb-b27e3756d0adDefaultParagraphFont-000002">58-17B-4</span></a><span class="sffddb683-2718-48b9-80eb-b27e3756d0adDefaultParagraphFont">.</span></p><p dir="ltr" class="sffddb683-2718-48b9-80eb-b27e3756d0adNormal"><span xml:space="preserve" class="sffddb683-2718-48b9-80eb-b27e3756d0adDefaultParagraphFont">    </span><span class="sffddb683-2718-48b9-80eb-b27e3756d0adDefaultParagraphFont-000000">Law Implemented:</span><span xml:space="preserve" class="sffddb683-2718-48b9-80eb-b27e3756d0adDefaultParagraphFont"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=58-17B-4"><span class="sffddb683-2718-48b9-80eb-b27e3756d0adDefaultParagraphFont-000002">58-17B-4</span></a><span class="sffddb683-2718-48b9-80eb-b27e3756d0adDefaultParagraphFont">.</span></p><p dir="ltr" class="sffddb683-2718-48b9-80eb-b27e3756d0adNormal"><span xml:space="preserve" class="sffddb683-2718-48b9-80eb-b27e3756d0ad000001"> </span></p></div></body></html>