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<section article="gin" article_name="Insurance" number="12-205" title_number="12" title_name="Policy Forms and Provisions" subtitle_number="2" subtitle_name="Life and Health Insurance and Annuities">
  <level label="a">
    <level label="1">
      <text>The Commissioner shall disapprove a form or withdraw the previous approval of a form filed under § 12–203 of this subtitle if the form does not meet the requirements of subsection (b) of this section.</text>
    </level>
    <level label="2">
      <text>The order of disapproval or withdrawal of approval shall inform the insurer of:</text>
      <level label="i">
        <text>a statutory or regulatory basis for the disapproval or withdrawal of approval; and</text>
      </level>
      <level label="ii">
        <text>an explanation of the application of the statutory or regulatory basis for the disapproval or withdrawal of approval.</text>
      </level>
    </level>
  </level>
  <level label="b">
    <text>A form may not:</text>
    <level label="1">
      <text>in any respect violate or fail to comply with this article;</text>
    </level>
    <level label="2">
      <text>contain or incorporate by reference, if the incorporation is otherwise permissible, any inconsistent, ambiguous, or misleading clauses, or exceptions and conditions that deceptively affect the risk purported to be assumed in the general coverage of the contract;</text>
    </level>
    <level label="3">
      <text>have a title, heading, or other indication of its provisions that is likely to mislead the policyholder or certificate holder;</text>
    </level>
    <level label="4">
      <text>contain an inequitable provision of insurance without substantial benefit to the policyholder;</text>
    </level>
    <level label="5">
      <text>be printed or otherwise reproduced so as to make a provision of the form substantially illegible;</text>
    </level>
    <level label="6">
      <text>provide benefits in a health insurance policy that are unreasonable in relation to the premium charged;</text>
    </level>
    <level label="7">
      <text>contain, irrespective of the premium charged, a benefit that is not sufficient to be of real economic value to the insured;</text>
    </level>
    <level label="8">
      <text>fail to provide minimum benefits or coverages that the Commissioner considers necessary to meet the minimum needs of the insured; or</text>
    </level>
    <level label="9">
      <text>in a health insurance application form or a nonprofit health service plan application form, contain inquiries about:</text>
      <level label="i">
        <text>a preexisting condition, illness, or disease for which the applicant has not received medical care or advice from a licensed health care provider:</text>
        <level label="1">
          <text>during the 7 years immediately before the date of application; or</text>
        </level>
        <level label="2">
          <text>for an application for an individual health benefit plan that is subject to § 15–508.1 of this article, during the 5 years immediately before the date of application; or</text>
        </level>
      </level>
      <level label="ii">
        <text>medical screening, testing, monitoring, or any other similar medical procedure that the Commissioner specifies and that the applicant received:</text>
        <level label="1">
          <text>more than 7 years before the date of application; or</text>
        </level>
        <level label="2">
          <text>for an application for an individual health benefit plan that is subject to § 15–508.1 of this article, more than 5 years before the date of application.</text>
        </level>
      </level>
    </level>
  </level>
</section>
