LTC Regulation, Medicaid & Partnerships

NAIC model minimums: ≥12-month benefits · free look · guaranteed renewable or noncancelable · no prior-hospitalization requirement · no facility-first requirement for home benefits · skilled benefits can't dwarf custodial · pre-ex capped at 6 months/6-month look-back · no impairment riders · post-claims underwriting prohibited. Suitability is the producer's duty (NAIC Shopper's Guide + personal worksheet). Medicaid pays LTSS only after assets are spent down (5-year transfer look-back); state Partnership programs let qualified-policy buyers shelter assets equal to benefits paid. Stand-alone policies typically issue ages ~18–79 (carrier practice, not statute).