(1) An
issuer may rescind a long-term care insurance policy or
certificate or deny an otherwise valid long-term care insurance
claim if:
(a) A policy or certificate has been in force for less than
six months and upon a showing of misrepresentation that is
material to the acceptance for coverage; or
(b) A policy or certificate that has been in force for at
least six months but less than two years, upon a showing of
misrepresentation that is both material to the acceptance for
coverage and that pertains to the condition for which benefits
are sought.
(2) After a policy or certificate has been in force for two
years it is not contestable upon the grounds of misrepresentation
alone. Such a 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.
(3) An issuer's payments for benefits under a long-term care
insurance policy or certificate may not be recovered by the
issuer if the policy or certificate is rescinded.
(4) This section does not apply to the remaining death
benefit of a life insurance policy that accelerates benefits for
long-term care that are governed by RCW 48.23.050 the state's
life insurance incontestability clause. In all other situations,
this section shall apply to life insurance policies that
accelerate benefits for long-term care.
[2008 c 145 § 11.]