State RegulationsOH specificDifficulty 2/5
A Cleveland applicant asks how the daily dollar amount of long-term care benefits is determined under Ohio law. Which answer is correct?
Select an option to reveal the answer and the full 3-part explanation — free, no signup.
Answer & full 3-part explanation (select an option above, or peek)
Why C is correct
Under ORC 3923.41 to 3923.50 and OAC 3901-4-01, the benefit amount is a policy-design term: the contract states the daily or monthly benefit and any maximum benefit period, and the outline of coverage must disclose these amounts so consumers can compare policies. Ohio law does not prescribe a statutory dollar benefit, and the Ohio Department of Insurance regulates disclosure and marketing rather than setting benefit levels.
Why the other options are wrong
- A) Ohio law does not index LTC benefits to a Medicare-published cost average.
- B) No uniform statutory daily benefit exists; amounts vary by policy and are disclosed in the outline of coverage.
- D) The benefit amount is fixed in the contract at issue, not set retroactively after a claim.
Memory hook
Benefit amounts live in the policy and outline — the state discloses, it doesn't dictate.