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<section article="gin" article_name="Insurance" number="19-1104" title_number="19" title_name="Property and Casualty Insurance" subtitle_number="11" subtitle_name="Pet Insurance">
  <level label="a">
    <text>A pet insurer transacting pet insurance shall disclose the following to consumers:</text>
    <level label="1">
      <text>all policy exclusions, including exclusions of coverage due to:</text>
      <level label="i">
        <text>a preexisting condition;</text>
      </level>
      <level label="ii">
        <text>a hereditary disorder;</text>
      </level>
      <level label="iii">
        <text>a congenital anomaly or disorder; or</text>
      </level>
      <level label="iv">
        <text>a chronic condition;</text>
      </level>
    </level>
    <level label="2">
      <text>any policy provision that limits coverage through a waiting period, a deductible, coinsurance, or an annual or lifetime policy limit;</text>
    </level>
    <level label="3">
      <text>whether the pet insurer reduces coverage or increases premiums based on the insured’s claim history, the age of the covered pet, or a change in the geographic location of the insured; and</text>
    </level>
    <level label="4">
      <text>the identity of the underwriting company if the company differs from the brand name used to market and sell the pet insurance policy.</text>
    </level>
  </level>
  <level label="b">
    <level label="1">
      <text>A notice shall be prominently printed on or attached to the face of the pet insurance policy that states that:</text>
      <level label="i">
        <text>the policy may be surrendered to the insurer for cancellation within 10 days after the date the policy is delivered to the insured; and</text>
      </level>
      <level label="ii">
        <text>if a policy is canceled during the 10–day period, a pro rata premium for the unexpired term of the policy shall be returned to the insured.</text>
      </level>
    </level>
    <level label="2">
      <text>An insured is not entitled to a pro rata premium in accordance with paragraph (1)(ii) of this subsection if the insured has made a claim under the pet insurance policy.</text>
    </level>
  </level>
  <level label="c">
    <text>A pet insurer shall clearly disclose a summary description of the basis or formula on which the pet insurer determines claim payments under a pet insurance policy:</text>
    <level label="1">
      <text>within the policy;</text>
    </level>
    <level label="2">
      <text>before issuing the policy; and</text>
    </level>
    <level label="3">
      <text>through a clear and conspicuous link on the main page of the website of the pet insurer or pet insurer’s program administrator.</text>
    </level>
  </level>
  <level label="d">
    <text>If a pet insurer uses a benefit schedule to determine claim payment under a pet insurance policy, the pet insurer shall:</text>
    <level label="1">
      <text>clearly disclose the applicable benefit schedule in the policy; and</text>
    </level>
    <level label="2">
      <text>disclose all benefit schedules used by the pet insurer under its pet insurance policies through a clear and conspicuous link on the main page of the website of the pet insurer or pet insurer’s program administrator.</text>
    </level>
  </level>
  <level label="e">
    <text>If a pet insurer determines claim payments under a pet insurance policy that are based on usual and customary fees, or any other reimbursement limitation based on prevailing veterinary practitioner charges, the pet insurer shall:</text>
    <level label="1">
      <text>include a usual and customary fee limitation provision in the policy that clearly describes:</text>
      <level label="i">
        <text>the pet insurer’s basis for determining usual and customary fees; and</text>
      </level>
      <level label="ii">
        <text>how the basis is applied in calculating claim payments; and</text>
      </level>
    </level>
    <level label="2">
      <text>disclose the pet insurer’s basis for determining usual and customary fees through a clear and conspicuous link on the main page of the website of the pet insurer or pet insurer’s program administrator.</text>
    </level>
  </level>
  <level label="f">
    <text>If a medical examination by a veterinary practitioner is required to begin coverage, the pet insurer shall:</text>
    <level label="1">
      <text>clearly and conspicuously disclose the required aspects of the examination before purchase of the pet insurance policy; and</text>
    </level>
    <level label="2">
      <text>disclose that examination documentation may result in a preexisting condition exclusion.</text>
    </level>
  </level>
  <level label="g">
    <text>A pet insurer shall clearly and prominently disclose any waiting periods and the requirements applicable to the waiting periods before purchase of the pet insurance policy.</text>
  </level>
  <level label="h">
    <level label="1">
      <text>A pet insurer shall:</text>
      <level label="i">
        <text>include with a copy of the pet insurance policy a summary of all policy provisions required in accordance with subsections (a) through (g) of this section in a separate document in at least 12 point type titled: “Insurer Disclosure of Important Policy Provisions”; and</text>
      </level>
      <level label="ii">
        <text>include the document required under item (i) of this paragraph on the website of the pet insurer or pet insurer’s program administrator through a clear and conspicuous link on the main page of the website.</text>
      </level>
    </level>
    <level label="2">
      <text>The document required under paragraph (1)(i) of this subsection shall include all relevant definitions established under § 19–1101 of this subtitle.</text>
    </level>
  </level>
  <level label="i">
    <text>At the time a pet insurance policy is issued or delivered to a policyholder, the pet insurer shall include the following information, printed in 12 point boldface type:</text>
    <level label="1">
      <text>the Administration’s mailing address, toll–free telephone number, and website address;</text>
    </level>
    <level label="2">
      <text>the address and customer service telephone number of the pet insurer or the insurance producer of record for the pet insurer; and</text>
    </level>
    <level label="3">
      <text>if the policy was issued or delivered by an insurance producer, a statement advising the policyholder to contact the insurance producer for assistance.</text>
    </level>
  </level>
  <level label="j">
    <text>The disclosure requirements required in accordance with this section shall be in addition to any other applicable disclosure requirements under this article or regulations adopted under this article.</text>
  </level>
</section>
