<?xml version='1.0' encoding='utf-8'?>
<chapter num="14" heading="Life and Health Insurance Guaranty Corporation Coverage — Notice Requirements" title_num="31" subtitle_num="04">
  <regulation prefix="Regulation" num=".01" heading="Scope.">
    <text>This chapter applies to a member insurer.</text>
  </regulation>
  <regulation prefix="Regulation" num=".02" heading="Definitions.">
    <paragraph num="A.">
      <text>In this chapter, the following terms have the meanings indicated.</text>
    </paragraph>
    <paragraph num="B.">
      <text>Terms Defined.</text>
      <paragraph num="(1)">
        <text>“Corporation” means the Life and Health Insurance Guaranty Corporation.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>“Health benefit plan” has the meaning stated in Insurance Article, §9-401(g), Annotated Code of Maryland.</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Member Insurer.</text>
        <paragraph num="(a)">
          <text>“Member insurer” means any person authorized in this State to transact:</text>
          <paragraph num="(i)">
            <text>Direct nongroup life insurance, health insurance, annuities (including structured settlements), and supplemental policies or contracts, or health maintenance organization business to which Title 9, Subtitle 4 of the Insurance Article applies; or</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>Certificates under direct group policies or contracts.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(b)">
          <text>“Member insurer” does not include:</text>
          <paragraph num="(i)">
            <text>A fraternal benefit society;</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>A mandatory state pooling plan;</text>
          </paragraph>
          <paragraph num="(iii)">
            <text>A mutual assessment company or any entity that operates on an assessment basis;</text>
          </paragraph>
          <paragraph num="(iv)">
            <text>An insurance exchange; or</text>
          </paragraph>
          <paragraph num="(v)">
            <text>An organization which is permitted to issue charitable gift annuity agreements.</text>
          </paragraph>
        </paragraph>
      </paragraph>
      <paragraph num="(4)">
        <text>“Resident” means a person who resides in this State at the time a member insurer is determined to be an impaired insurer or an insolvent insurer, and to whom a contractual obligation is owed.</text>
      </paragraph>
      <paragraph num="(5)">
        <text>“Supplemental contract” means an agreement entered into for the distribution of policy or contract proceeds.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".03" heading="Required Notice.">
    <paragraph num="A.">
      <text>A member insurer or insurance producer may not deliver a life insurance policy, a health insurance policy, a health benefit plan (including a health maintenance organization contract or group master certificate), or an annuity contract which at the time of delivery exceeds the limitations imposed under Insurance Article, §9-407(k), Annotated Code of Maryland, or which is not subject to coverage under Insurance Article, §9-403, Annotated Code of Maryland, unless the member insurer or insurance producer before or at the time of delivery provides the policyholder or contract holder the notice described in §B of this regulation. This chapter does not prohibit a member insurer or insurance producer from delivering the notice to policyholders or contract holders who have full protection afforded by the corporation.</text>
    </paragraph>
    <paragraph num="B.">
      <text>The notice required in §A of this regulation shall be in at least 12-point type and shall read as follows:</text>
    </paragraph>
  </regulation>
  <annotations>
    <annotation type="Authority">Insurance Article, §§2-109 and 9-414, Annotated Code of Maryland</annotation>
    <annotation type="History" subtype="Administrative History">Effective date:</annotation>
    <annotation type="History" subtype="Administrative History">Regulations .01—.03 adopted as an emergency provision effective February 1, 1996 (23:4 Md. R. 270); adopted permanently effective July 1, 1996 (23:13 Md. R. 943)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .03B amended as an emergency provision effective July 1, 1996 (23:14 Md. R. 1004); amended permanently effective November 4, 1996 (23:22 Md. R. 1496)</annotation>
    <annotation type="History" subtype="Administrative History">Chapter recodified from COMAR 09.31.11 to COMAR 31.04.14 effective September 7, 1998 (25:18 Md. R. 1439)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .01 amended effective November 1, 2021 (48:19 Md. R. 803)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .02B amended effective November 1, 2021 (48:19 Md. R. 803)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .03 amended effective May 1, 2007 (34:1 Md. R. 33); November 1, 2021 (48:19 Md. R. 803)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .03B amended effective October 18, 2010 (37:21 Md. R. 1438); July 16, 2015 (42:8 Md. R. 608)</annotation>
  </annotations>
</chapter>