§ 15-919. Required written statements to prospective buyers
West's Annotated Code of MarylandInsurance
MD Code, Insurance, § 15-919
§ 15-919. Required written statements to prospective buyers
(a)(1) Under any circumstance stated in this section, a carrier or insurance producer of a carrier shall give to a prospective buyer eligible for Medicare by reason of age a written statement as required, for each circumstance, by this section.
(b) If the proposed policy excludes or limits benefits for preexisting conditions, a statement shall be given that describes in plain language the limitations or exclusions.
(c) If the proposed policy provides coverage for care in a Medicare-approved skilled nursing facility, but the policy does not provide coverage for care in other nursing home facilities or for custodial or rest home care, a statement shall be given that describes clearly those expenses that the policy does not cover.
(d)(1) If the proposed policy does not comply with the requirements of §§ 15-904, 15-906, 15-907, and 15-908 of this subtitle for a Medicare supplement policy, a statement printed in 12-point type shall be given that:
“This policy (or certificate) is not a Medicare supplement policy (or certificate). It is not designed to fill the ‘gaps' of Medicare. If you are eligible for Medicare, review the Medicare supplement buyer's guide available from the company”.
(iii) a policy or contract of one or more employers or labor organizations or the trustees of a fund established by one or more employers or labor organizations or a combination of employers or labor organizations, for employees, former employees, a combination of employees or former employees, members, former members, or a combination of members or former members of the labor organization.
(e) If the proposed policy provides accident-only benefits, a statement printed in 12-point type shall be given that contains the language in subsection (d) of this section and the following:
“This is an accident only policy. It does not pay benefits for loss due to sickness”.
Credits
Added by Acts 1997, c. 35, § 2, eff. Oct. 1, 1997. Amended by Acts 1998, c. 21, § 1, eff. April 14, 1998; Acts 2001, c. 731, § 1, eff. July 2, 2001.
Formerly Art. 48A, § 468F.
MD Code, Insurance, § 15-919, MD INSURANCE § 15-919
Current with all legislation from the 2023 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
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