C.F.R. » Title 5 » CHAPTER I—OFFICE OF PERSONNEL MANAGEMENT › SUBCHAPTER B—CIVIL SERVICE REGULATIONS › PART 875—FEDERAL LONG TERM CARE INSURANCE PROGRAM › Subpart D—Coverage

5 C.F.R. § 875.407

Who makes insurability decisions?

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The Carrier determines the insurability of all applicants. The Carrier's decision may not be appealed to OPM.

Notes of Decisions
Cited in 2 cases, 2008–2012 · leading case: Long Term Care Partners, LLC v. United States, 516 F.3d 225 (4th Cir. 2008).
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Long Term Care Partners, LLC v. United States, 516 F.3d 225 (4th Cir. 2008). · cites it 4× “§ 9003 (c); 5 C.F.R. § 875.407 . [1] The carrier's eligibility determinations are subject to review "only to the extent and in the manner provided in the applicable master contract.”
Rouse v. Springer, 848 F. Supp. 2d 4 (D.D.C. 2012). “§ 9003 (c); 5 C.F.R. § 875.407 . After LTCSA was enacted, OPM began the process of establishing a long-term care insurance program and developing underwriting standards for the program.”
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