Group LTC, Riders, Extension of Benefits and Replacement (FL)

Group LTC: the sponsoring policyholder need not contribute premium — but if it contributes ANY, all group members must be declared eligible and acceptable at issuance. Group LTC must provide continuation (coverage under the existing group policy continues, subject only to premium payment) or conversion (anyone continuously insured for six (6) months before termination may convert to an individual policy without evidence of insurability). Extension of benefits: if the policy terminates while the insured is institutionalized (and the stay began while in force), coverage continues uninterrupted — limited by the policy's benefit period/maximums. Riders: any post-issue rider or endorsement REDUCING or eliminating benefits requires the insured's signed acceptance (unless the insured requested it); benefit-increasing riders with a premium increase need a signed written agreement, except increases required by law. Replacement: applications must probe for existing LTC coverage and intent to replace, and agents must list every OTHER health policy they sold the applicant; the signed Notice Regarding Replacement of Accident and Sickness or Long-Term Care Coverage goes to the insurer (applicant keeps a copy) before issue or delivery, whichever comes first; the replacing insurer notifies the existing insurer in writing within five (5) working days of receiving the application or issuing the policy, whichever is sooner.

Nobody's benefits shrink without a signature, nobody mid-nursing-home-stay gets cut off, and every replacement leaves a five-day paper trail.