31.11.05.04

.04 Required Coverage.

A. The coverages provided by the required health insurance options shall include, but are not limited to:

(1) The institutional and professional care expenses for nursing home care alone, or in addition to intermediate or custodial nursing care, while confined in a nursing home or other custodial care facility or institution; and

(2) Expenses for the type of care described in §A(1) of this regulation for an insured who is not confined to a facility or institution.

B. The insurer may establish reasonable limits on the benefits offered for the above coverages including, but not limited to, copayments, deductibles, and maximum annual and lifetime limits.