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| Home > Statutes > Usa-Arizona |
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USA Statutes : arizona
Title : Insurance
Chapter : LIFE CARE CONTRACTS
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20-1801 Definitions
In this chapter, unless the context otherwise requires:
1. "Assets of a life care facility" means those assets held in the name of the life
care facility only.
2. "Department" means the department of insurance.
3. "Director" means the director of the department of insurance.
4. "Entrance fee" means an initial or deferred transfer to a provider of a sum of
money or property, made or promised to be made by a person entering into a life care
contract, which assures a resident of services pursuant to a life care contract.
5. "Facility" means a place or places in which a provider undertakes to provide a
resident with nursing services, medical services or health-related services, in addition
to board and lodging, for a term in excess of one year or for life pursuant to a life
care contract.
6. "Life care contract" means a contract to provide to a person for the duration of
such person's life or for a term in excess of one year nursing services, medical services
or health-related services, as defined in section 36-401, in addition to board and
lodging for such person in a facility, conditioned upon the transfer of an entrance fee
to the provider of such services in addition to or in lieu of the payment of regular
periodic charges for the care and services involved.
7. "Living unit" means an apartment, room or other area within a facility set aside
for the exclusive use of one or more identified residents.
8. "Manager" means a corporation, partnership, association, joint stock company,
trust, or any other unincorporated organization which is contracted with to manage the
residential section or health related section, or both, of a life care facility.
9. "Permit" means a permit to enter into life care contracts issued by the
department of insurance.
10. "Promoter" means the primary person who is employed to consult or to promote the
establishment of a life care facility.
11. "Provider" means a person who provides services pursuant to a life care
contract.
12. "Resident" means a person who enters into a life care contract with a provider
or who is designated, in a life care contract, to be a person provided with services,
board and lodging.
20-1802 Permit required; application; definition
A. No person may solicit or enter into a life care contract as a provider or as a
provider extend the term of an existing life care contract except pursuant to this
chapter.
B. To qualify for a permit to enter into life care contracts with respect to a
particular facility, a person shall file an application for a permit with the department
on permit application forms provided by the department that shall include as an exhibit a
copy of the proposed form of life care contract to be entered into with residents at each
facility. The application shall contain the following information:
1. The name and business address of the applicant.
2. The name, the address and a description of the physical property of the
facility.
3. The terms and conditions of the life care contracts to be used by the applicant,
including the services to be provided to residents pursuant to the contract and the fees
or charges to be paid by residents, including the method of payment of the fees or
charges.
4. If the applicant is not an individual, such as a corporation, partnership or
trust, a statement naming the fiscal year end date that is the last day of a calendar
month and the type of legal entity and listing the interest and extent of such interest
of each principal in the entity.
5. If the applicant is not an individual, a biographical affidavit on a form
approved by the director for each of the members of the board of directors, officers,
trustees or managing partners.
6. The estimated number of residents of the facility to be provided services by the
applicant pursuant to the life care contracts.
7. A statement of the provisions that have been made or will be made to provide
reserve funding or security by the provider to enable the provider to fully perform the
provider's obligations pursuant to life care contracts, including the establishment of
escrow accounts, accounts in financial institutions, trusts or reserve funds.
8. A statement as to whether the applicant was or is affiliated with a religious,
charitable or other nonprofit organization, the extent of any affiliation and the extent
to which the affiliate organization will be responsible for the financial and contract
obligations of the applicant.
9. If the applicant is a subsidiary corporation or the affiliate of another
corporation, a statement identifying the parent corporation or the other affiliate
corporation and the primary activities of the parent or other affiliate corporation.
10. A description of the business experience of the provider in the operation of
similar facilities and, if the facility will be managed on a day-to-day basis by a
corporation or organization other than the provider, a description of the business
experience of the manager in the operation or management of similar facilities.
11. A statement as to whether the applicant, a promoter, a principal, a parent or
subsidiary corporation or an affiliate has had any injunctive or restrictive order of a
court of record, or any suspension or revocation of any state or federal license or
permit, arising out of or relating to business activity or health care applied against
it, including without limitation actions affecting a license to operate a foster care
facility, a health care institution, a retirement home or a home for the aged.
12. A statement of any periodic rates to be initially paid by residents, the method
by which the rates are determined and the manner by which the provider may adjust the
rates in the future. If the facility is already in operation, or if the provider
operates one or more similar facilities within this state, the statement must include
tables showing the frequency and average dollar amount of each increase in periodic rates
at each facility for the previous five years or any shorter period as the facility may
have been operated by the provider.
13. A statement of the terms and conditions under which a life care contract may be
canceled by the provider or resident, including any health and financial conditions
required for a person to continue as a resident and any conditions under which all or any
portion of the entrance fee will be refunded by the provider.
14. If construction or purchase of the facility has not yet been completed, a
statement of the anticipated source and application of the monies to be used in the
purchase or construction, including all of the following:
(a) An estimate of the cost of purchasing or constructing and equipping the
facility including related costs as financing expense, legal expense, land costs,
occupancy development costs and all other similar costs that the provider expects to
incur or become obligated for before the commencement of operations.
(b) An estimate of the total entrance fees to be received from residents on
completion of occupancy.
(c) A description of any mortgage loan or other long-term financing intended to be
used for the financing of the facility, including the anticipated terms and costs of the
financing.
(d) An estimate of any funds that are anticipated to be necessary to fund start-up
losses and to assure full performance of the obligations of the provider pursuant to life
care contracts including any reserve fund escrow required by the director pursuant to
section 20-1806.
15. Certified financial statements of the provider, promoter and manager as of a
date not more than ninety days before the date the permit application is filed, that
shall include a balance sheet and the related statements of income, retained earnings or
equity and changes in financial position for the three most recent fiscal years or any
shorter period of time as the provider, promoter or manager has been in existence. Each
of these statements shall be prepared in accordance with generally accepted accounting
principles and reported on by a certified public accountant in accordance with generally
accepted auditing standards. If the fiscal year ended more than ninety days before the
date of filing, the provider shall include an income statement, that need not be
certified, covering the period between the date the fiscal year ended and a date not more
than ninety days before the date the application is filed.
16. A feasibility study that shall include a financial forecast of the life care
facility estimating the most probable financial position, results of operations and
changes in financial position for the immediately succeeding five year period. The
feasibility study must set forth the actuarial assumptions for determining that the
project has sufficient revenues and funds, including reserves, for the project to
continue as a viable operating concern. The study must include all of the following:
(a) Beginning cash balance, and in the event that operation of the facility has not
yet commenced, the beginning cash balance shall be consistent with the statement of
anticipated source and application of funds described in paragraph 14.
(b) Anticipated earnings on cash reserves.
(c) Estimates of net receipts from entrance fees, other than entrance fees included
in the statement of source and application of funds required under paragraph 14, less
estimated entrance fee refunds and a description of the actuarial basis and method of
calculation for the projection of entrance fee receipts.
(d) An estimate of gifts or bequests if any are to be relied on to meet operating
expenses.
(e) A projection of estimated income from fees and charges other than entrance
fees, showing individual rates presently anticipated to be charged, including a
description of the assumptions used for calculating the effect on the income of the
facility of subsidized health services to be provided pursuant to the life care
contracts.
(f) A projection of estimated operating expenses of the facility, including a
description of the assumptions used in calculating the expenses, and separate allowances
for the replacement of equipment and furnishings and anticipated major structural repairs
or additions.
(g) An estimate of annual payments of principal and interest required by any
mortgage loan or other long-term financing.
17. An actuarial study prepared by a qualified actuary to be submitted with the
feasibility study for the purpose of demonstrating that the project has sufficient
revenues and funds, including reserves, for the project to continue as a viable operating
concern. The actuarial study shall include a cash flow projection, an evaluation of the
adequacy of current pricing structures and an analysis of the long-term relationship
between the project's assets and liabilities.
18. If the feasibility study required by paragraph 16 indicates that the provider
will have cash balances over and above two months' projected operating expenses of the
facility, a description of the manner in which the reserve funds will be invested and the
persons who will be making the investment decisions.
C. The application shall be signed under oath by the chief executive officer of the
applicant.
D. Copies of the escrow agreements executed with an escrow agent pursuant to
sections 20-1804 and 20-1806 shall be recorded as exhibits to the application.
E. The life care contract shall provide that any person entering into the contract
shall have a period of seven days within which to rescind the life care contract without
penalty or further obligation beginning with the first full calendar day following the
last to occur of the execution of the contract, the payment of an initial sum of money as
a deposit or application fee or receipt of a copy of the provider's most recent annual
report if the provider has filed an annual report with the director pursuant to section
20-1807, or, if the provider has not filed an annual report, a copy of the provider's
application. In the event of a rescission, all money or property paid or transferred by
the person shall be fully refunded by the provider. A person shall not be required to
move into a facility until after the expiration of the seven-day rescission period.
F. The director may charge an applicant the fee prescribed in section 20-167 for
processing the application filed pursuant to subsection B of this section.
G. Nothing in this article requires the director to determine the actual financial
condition of any life care contract provider. The approval of a permit indicates only
that the entity appears to be financially viable based on the information provided to the
director.
H. For the purposes of this section, "principal" means any person or entity having
a ten per cent or more financial interest or, if the legal entity is a trust, each
beneficiary of the trust holding a ten per cent or more beneficial interest.
20-1803 Issuance of permit
A. The director shall review applications for completeness and issue a report of
deficiencies to the applicant within sixty days of receipt of the application. The
director shall issue a permit to the provider within thirty days of the receipt of a
completed application and exhibits and payment of the fee by the applicant, and proof of
compliance by the applicant with the provisions of sections 20-1804 and 20-1806. If the
applicant has already paid the fee as a part of the process to receive a provisional
permit under subsection E of this section, this subsection does not establish an
additional fee. The director shall issue an order refusing the permit if the applicant
does not meet the requirements therefor. The permit shall be subject to the conditions
imposed pursuant to sections 20-1804 through 20-1806 allowing the provider to enter into
life care contracts with respect to the number of living units and facility described in
the application.
B. A permit issued under this section shall remain in full force, subject to the
provisions of this chapter.
C. A permit issued pursuant to this section shall contain, in a prominent location,
a statement that the issuance of a permit pursuant to section 20-1803 does not constitute
approval, recommendation or endorsement by the department or director, nor does such a
permit evidence the accuracy or completeness of the information set out in the
application or the annual report of the provider.
D. All permits shall be nontransferable.
E. The director shall review an application for a provisional permit for
completeness and issue a report of deficiencies to the applicant within sixty days of
receipt of the application. The director may grant an applicant a provisional permit
within thirty days of the receipt of a completed application and exhibits and payment of
the fee by the applicant if the applicant has submitted an application containing the
information required in paragraphs 1 through 15 of subsection B of section
20-1802. Under the provisional permit, the applicant may solicit reservations for
residences in the facility and collect deposits therefor. The applicant shall establish
a trust account in which all reservation deposits shall be placed. The person entering
into the contract for a reservation may rescind the agreement at any time prior to
entering into the life care contract. In the event the reservation agreement is
rescinded, all money or property, including accrued interest thereon, shall be returned
to the person.
20-1804 Entrance fee escrow
A. As a condition for the issuance of a permit pursuant to section 20-1803, the
director shall require that the provider establish an escrow account with a licensed
agent which provides that all of any entrance fee received by the provider prior to the
date the resident is permitted to occupy his or her living unit in the facility be placed
in escrow with a bank, trust company or other escrow agent approved by the director,
subject to the condition that such funds may be released only as follows:
1. If the entrance fee applies to a living unit which has been previously occupied
in the facility, the entrance fee shall be released to the provider at such time as the
living unit becomes available for occupancy by the new resident.
2. If the entrance fee applies to a living unit which has not previously been
occupied by any resident, the entrance fee, or that portion of the entrance fee not to be
held in escrow pursuant to section 20-1806, shall be released to the provider at such
time as the director is satisfied that all of the following conditions exist:
(a) Construction or purchase of the facility has been substantially completed and
an occupancy permit covering the living unit has been issued by the local government
having authority to issue such permits.
(b) A commitment has been received by the provider for any permanent mortgage loan
or other long-term financing described in the statement of anticipated source and
application of funds submitted by the provider as part of its permit application, and any
conditions of the commitment prior to disbursement of funds thereunder have been
substantially satisfied.
(c) Aggregate entrance fees received or receivable by the provider pursuant to
binding life care contracts, plus the anticipated proceeds of any first mortgage loan or
other long-term financing commitment are equal to not less than ninety per cent of the
aggregate cost of constructing or purchasing, equipping and furnishing the facility plus
not less than ninety per cent of the funds estimated in the statement of anticipated
source and application of funds submitted by the provider as part of its permit
application, to be necessary to fund start-up losses and assure full performance of the
obligations of the provider pursuant to life care contracts.
B. If the funds in an escrow account required to be established under subsection A
are not released within such time as provided by rules and regulations issued by the
director, then such funds shall be returned by the escrow agent to the persons who had
made payment to the provider.
C. An entrance fee held in escrow may be returned by the escrow agent to the person
or persons who had made payment to the provider at any time upon receipt by the escrow
agent of notice from the provider that such person is entitled to a refund of the
entrance fee.
D. Nothing in this section shall be interpreted as requiring the escrow of any
nonrefundable application fee, designated as such in the permit application required by
section 20-1802, received by the provider from a prospective resident.
20-1805 Recording of lien by director
A. The director shall, as a condition to granting a permit to an applicant, record
with the county recorder of any county a notice of lien against the facility's properties
on behalf of all residents who enter into life care contracts with the applicant to
secure performance of the provider's obligations to residents pursuant to life care
contracts.
B. From the time of such recording there exists a lien for an amount equal to the
reasonable value of services to be performed under a life care contract in favor of each
resident on the land and improvements of the facility's properties owned by the provider,
not exempt from execution, which are listed in the notice of lien filed pursuant to
subsection C of this section and which are located in the county in which the notice of
lien is recorded.
C. The lien shall be perfected by the director by executing by affidavit the notice
and claim of lien, which shall contain:
1. The legal description of the lands and improvements to be charged with a lien.
2. The name of the owner of the property affected.
3. A statement providing that the lien has been filed by the director pursuant to
section 20-1805.
D. The lien may be released or partially released at the request of the applicant
if, in the judgment of the director, such release or partial release inures to the
benefit of the residents and the performance of the provider's obligations to the
residents.
E. The lien may be foreclosed by civil action. Any number of persons claiming
liens against the same property pursuant to this section may join in the same action. If
separate actions are commenced, the court may consolidate such actions. The court shall,
as part of the costs, allow reasonable attorney's fees for each claimant who is a party
to the action.
F. In a civil action filed pursuant to this section, the judgment shall be given in
favor of each resident having a lien who has joined in the foreclosure action for the
amount equal to the reasonable value of services to be performed under a life care
contract in favor of each resident. The court shall order the sheriff to sell any
property subject to the lien at the time judgment is given, in the same manner as real
and personal property is sold on execution. The lien for the reasonable value of
services to be performed under a life care contract shall be on equal footing with claims
of other residents. If a sale is ordered and the property sold and the proceeds of the
sale are not sufficient to discharge all liens of residents against the property, the
proceeds shall be prorated among the respective residents.
G. The liens provided for in this section are preferred to all liens, mortgages or
other encumbrances upon the property attaching subsequently to the time the lien is
recorded and are preferred to all unrecorded liens, mortgages and other
encumbrances. The amount secured by any lien having priority to the lien filed pursuant
to this section may not be increased without prior approval of the director.
H. The director shall file a release of the lien upon proof of complete performance
of all obligations to residents pursuant to life care contracts.
I. The director may subordinate any lien filed pursuant to this section to the lien
of a first mortgage or other long-term financing obtained by the provider, regardless of
the time at which the subsequent lien attaches.
20-1806 Reserve fund escrow
The director shall, as a condition of the issuance of a permit pursuant to section
20-1803, require that the provider maintain on a current basis, in escrow with a bank,
trust company or other escrow agent approved by the director, an amount which equals the
aggregate principal and interest payments due during the next twelve months on account of
any first mortgage or other long-term financing of the facility. The principal of the
escrow account may be invested with the earnings thereon payable to the provider, and up
to one-sixth of the total principal shall be released to the provider upon notice to the
director. The escrow agreement shall provide that upon withdrawal of any such amount by
the provider, the escrow agent shall provide immediate written notice of such withdrawal
to the director and that any amount released to the provider shall be repaid to the
escrow account within two years of the release of such amount. In the event that the
provider does not repay the escrow account within such two year period, the escrow agent
shall provide immediate written notice to the director.
20-1807 Annual report; civil penalty
A. Each year not later than ninety days after the last day of the provider's fiscal
year, each provider shall file with the department an annual report accompanied by the
fee prescribed in section 20-167. The annual report shall include the information
required by section 20-1802, subsection B, except that the information required by
section 20-1802, subsection B, paragraphs 5, 15 and 17 shall be filed in accordance with
the provisions of subsection C of this section. The annual report need not include the
information required by section 20-1802, subsection B, paragraph 16. The annual report
shall be made on forms provided by the department. The annual report and any amendment to
the annual report shall be signed under oath by the chief executive officer of the
provider. For good cause, the director may extend the due date for a provider to file
its annual report and pay the required fee.
B. A provider shall amend its annual report on file with the department at any
time, without the payment of any additional fee, if an amendment is necessary to prevent
the annual report from containing a material misstatement of fact or omitting to state a
material fact required to be stated.
C. Any provider, manager or promoter shall comply with the requirements of this
section as follows:
1. Information required by section 20-1802, subsection B, paragraph 5 shall be
filed:
(a) Immediately on the substitution or installation of a member of the board of
directors or an officer, trustee or managing partner different from the information
disclosed in the provider's application or submission pursuant to subdivision (b).
(b) Every three years after the initial filing of the biographical affidavit by the
provider.
2. Certified financial statements required by section 20-1802, subsection B,
paragraph 15 for the two most recent fiscal years shall be filed with the annual report
by the provider and manager only. The certified financial statements of the promoter
shall be filed with the annual report unless the promoter is not currently employed by
the provider.
3. The actuarial study required by section 20-1802, subsection B, paragraph 17
shall be filed by the provider on a triennial basis beginning with the year in which
resident occupancy began at the facility pursuant to the permit issued to the
provider. The director may require a provider to file an actuarial study on a more
frequent basis if the director deems it necessary and may adjust subsequent triennial
filings accordingly.
D. A provider shall not change the fiscal year end date disclosed pursuant to
section 20-1802, subsection B, paragraph 4 without the prior approval of the
director. The director shall approve the change if the commissioner of the internal
revenue service grants a request for a change of a fiscal year pursuant to 26 United
States Code section 442.
E. Assets shall be reported at values determined pursuant to sections 20-511
through 20-515. If the director deems it necessary to value any real estate the director
may employ one or more competent appraisers for that purpose, and the reasonable expense
shall be borne by the provider.
F. The director may assess and collect a civil penalty of not more than twenty-five
dollars for each day the annual report is late against a provider who fails to file the
annual report timely accompanied by the required fee.
20-1808 Ratio of assets to liabilities; report; rehabilitation of provider
A. The provider shall possess assets in the first year of operation equal to at
least seventy-five per cent of the unamortized endowment fees plus all other liabilities
including long-term debt. The unamortized endowment fees shall be based on life
expectancy of purchasers. Thereafter, the provider shall at all times possess assets in
an amount sufficient to assure full performance of the obligations of the provider
pursuant to life care contracts including any reserve fund escrow required by the
director pursuant to section 20-1806.
B. If revenues or funds including reserves are inadequate or projected to be
inadequate pursuant to the annual report or an actuarial report or if the provider does
not meet the requirements of subsection A of this section, the director may employ an
independent management consultant experienced in the operation of life care facilities,
at the expense of the provider, who shall examine the financial structure and operations
of the provider and make recommendations on remedial action to the director. The
director shall not be bound by such recommendations.
C. At any time the director receives notice from the escrow agent that section
20-1806 has not been complied with, or at any other time when the director has reason to
believe that the provider is in a financially unsound or unsafe condition, or that its
condition is such that it may otherwise be unable to fully perform its obligations
pursuant to life care contracts, or when the provider fails to implement the director's
recommendations as a result of a management consultant's report or when it is obvious to
the director that to obtain the services of a financial consultant under subsection B of
this section would be futile, the director, through the attorney general, shall apply to
the superior court in the county in which the provider's facility is located for an order
directing him to assume management and possession of the provider's facility and to
rehabilitate the provider to enable it to fully perform its obligation pursuant to life
care contracts. The court shall act upon the application upon notice to the provider,
and any objection to the petition shall be filed with the court within the time
prescribed by such notice.
D. If the court upon hearing finds that the provider is in a financially unsound or
unsafe condition or that its condition is such that it may otherwise be unable to fully
perform its obligations pursuant to life care contracts, the court shall issue an order
directing the director to take possession of the property of the provider and to conduct
the business thereof, and to take such steps toward removal of the causes and conditions
which have made rehabilitation necessary, as the court may direct. The order shall
include a provision directing the issuance of a notice of the rehabilitation proceedings
to the residents at such facility and to such other interested persons as the court shall
direct.
E. Appointment of the director to rehabilitate a provider shall authorize the
director to:
1. Take possession of and preserve, protect and recover any assets, books and
records or property of the provider, including claims or causes of action belonging to or
which may be asserted by the provider and to deal with such property in his own name in
the capacity as director, and purchase at any sale any real estate or other asset upon
which the provider may hold any lien or encumbrance or in which it may have an interest.
2. File, prosecute and defend or compromise any suit or suits which have been filed
or which may thereafter be filed by or against such provider which are deemed by the
director to be necessary to protect the provider or the residents or any property
affected thereby.
3. Take possession of and deposit and invest any of the provider's available funds.
4. Pay all expenses of the rehabilitation.
5. Exercise such other powers and duties as may be provided by order of the court.
6. Appoint managers, supervisors or employees necessary to properly manage and
operate the provider and the provider's facility.
7. Take possession of and, with the prior approval of the court, sell, exchange,
lease, mortgage or otherwise dispose of any property of the provider by public sale,
bidding or otherwise.
8. With the prior approval of the court, borrow money with or without security for
the purpose of facilitating the rehabilitation of the provider.
9. Perform all duties of the provider.
10. Reject any executory contract to which the provider is a party.
11. Withdraw any sums remaining in the escrow account established pursuant to
section 20-1806 for the purpose of rehabilitating the provider's facility.
F. The court may at any time during a rehabilitation proceeding issue such other
instructions or orders as are deemed necessary to aid the director in the rehabilitation
proceeding.
G. The director, or any interested person upon due notice to the director, at any
time may apply to the court for an order terminating the rehabilitation proceedings and
permitting the provider to resume possession of its property and the conduct of its
business, but no such order shall be granted except when, after a full hearing, the court
has determined that the purposes of the proceeding have been fully accomplished and that
the facility can be returned to the provider's management without further jeopardy to the
residents of the facility, creditors, owners of the facility, and to the public. An
order terminating the rehabilitation proceeding shall be based upon a full report and
accounting by the director of the conduct of the provider's officers during the
rehabilitation and of the provider's current financial condition.
H. If at any time the director deems that further efforts to rehabilitate the
provider would be useless, he may report to the court and apply for an order of
liquidation and dissolution pursuant to title 10, chapter 14, article 3, if a
corporation, or may apply for other appropriate relief for dissolving the provider and
winding up its affairs. An order directing the liquidation or dissolution of the
provider shall act as a revocation of the provider's permit issued pursuant to section
20-1803.
I. In connection with the rehabilitation proceedings, the director may appoint one
or more special deputy directors of insurance to act for him and may employ such counsel,
clerks or assistants as he deems necessary. The compensation of the special deputies,
counsel, clerks or assistants and any expenses of taking possession of the provider's
facility and of conducting the proceedings shall be set by the director, subject to
approval of the court, and shall be paid out of the funds or assets of the provider. 20-1809 Examination
The director may conduct an examination of the affairs of any provider as often as
he deems it necessary for the protection of the interests of the people of this state and
for this purpose shall have the powers set forth in this title with respect to
examinations of insurers.
20-1810 Rules and regulations
The director may promulgate reasonable rules and regulations for effectuating any
provision of this chapter.
20-1811 Violation; classification
After January 1, 1978, any person acting in the capacity of a provider who enters
into a life care contract, or extends the term of an existing life care contract, without
first having been issued a permit by the department or without otherwise acting in
compliance with the provisions of this chapter, shall be guilty of a class 2 misdemeanor.
20-1812 Disclosure statement; contents
At the time of or prior to the execution of a life care contract and the transfer of
any money or other property to a provider pursuant thereto, the provider shall deliver to
the person with whom the life care contract is entered into a disclosure statement which
contains a copy of the provider's certified financial statements and feasibility study
prepared according to the provisions of section 20-1802 and any other information
required by the director. The cover of the disclosure statement shall contain the
following statement in bold-faced print: "A permit for this life care facility has been
issued by the ARIZONA department of insurance. This permit does not constitute approval,
recommendation or endorsement of the life care facility by the department, nor does it
evidence the accuracy or completeness of the information in this statement."
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