This version of the form is not currently in use and is provided for reference only. Download this version of Form LHL564 for the current year.
This is a legal form that was released by the Texas Department of Insurance - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form LHL564?
A: Form LHL564 is the Long-Term Care Insurance Claim Denials Reporting Form.
Q: Who is required to fill out Form LHL564?
A: Long-term care insurance providers in Texas are required to fill out Form LHL564 if they deny a claim for benefits.
Q: What is the purpose of Form LHL564?
A: The purpose of Form LHL564 is to report denials of long-term care insurance claims to the Texas Department of Insurance.
Q: Do I need to submit Form LHL564 for every denied claim?
A: Yes, Form LHL564 needs to be submitted for each denied claim by a long-term care insurance provider.
Q: What information is required on Form LHL564?
A: Form LHL564 requires information such as claimant details, policy details, reason for denial, and supporting documentation.
Q: Is there a deadline for submitting Form LHL564?
A: Yes, there is a deadline for submitting Form LHL564, which is specified on the form or by the Texas Department of Insurance.
Q: What happens after I submit Form LHL564?
A: After submitting Form LHL564, the Texas Department of Insurance may review the denial and take appropriate action if necessary.
Q: Can I appeal a denial after submitting Form LHL564?
A: Yes, you can still appeal a denial even after submitting Form LHL564 to the Texas Department of Insurance.
Form Details:
Download a fillable version of Form LHL564 by clicking the link below or browse more documents and templates provided by the Texas Department of Insurance.