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§ 18-112. Continuation of coverage or conversion of policies

West's Annotated Code of MarylandInsurance

West's Annotated Code of Maryland
Insurance (Refs & Annos)
Title 18. Long-Term Care Insurance (Refs & Annos)
MD Code, Insurance, § 18-112
§ 18-112. Continuation of coverage or conversion of policies
In general
(a) Each group policy of long-term care insurance shall provide covered individuals with a basis for continuation of coverage or conversion to an individual policy of long-term care insurance.
Basis for continuation of coverage
(b)(1) For purposes of this section, a group policy of long-term care insurance provides a basis for continuation of coverage if the group policy:
(i) maintains coverage under the existing group policy when the coverage would otherwise terminate; and
(ii) is subject only to the continued timely payment of premiums.
(2) A group policy that restricts benefits and services to certain providers or facilities or contains incentives to use certain providers or facilities may provide continuation benefits that are substantially equivalent to the benefits of the existing group policy.
Basis for conversion of coverage
(c) For purposes of this section, a group policy provides a basis for conversion of coverage if the group policy provides for issuance of a policy that provides benefits that are identical to, substantially equivalent to, or in excess of the benefits of the terminated group policy without evidence of insurability to each individual:
(1) whose coverage under the group policy would otherwise be terminated for any reason; and
(2) who has been continuously insured under the group policy for at least 6 months before the date of termination.
Determination whether benefits substantially equivalent
(d) In determining whether benefits are substantially equivalent under this section, the Commissioner shall consider the difference between managed care plans and other plans.

Credits

Added by Acts 1997, c. 35, § 2, eff. Oct. 1, 1997.
Formerly Art. 48A, § 645.1.
MD Code, Insurance, § 18-112, MD INSURANCE § 18-112
Current through all legislation from the 2022 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
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