Texas Long-Term Care Insurance Recission Reporting Form

State:
Texas
Control #:
TX-LHL563
Format:
PDF
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Description

Long-Term Care Insurance Recission Reporting Form

Texas Long-Term Care Insurance Recession Reporting Form is a document that insurance companies must submit to the Texas Department of Insurance whenever they rescind a long-term care insurance policy. This form must be completed and returned to the department within 30 days of the rescission. The form includes information such as the policy number, the name of the insured, the effective date of the rescission, the reason for the rescission, and the refund amount. There are two types of Texas Long-Term Care Insurance Recession Reporting Forms: one for individual policies and one for group policies. The individual form requires additional information such as the insured’s Social Security number, date of birth, and address. The group form requires additional information such as the name of the group policyholder, the policyholder’s address, and the plan number.

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Texas Long-Term Care Insurance Recission Reporting Form