<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 31.04.17.04" title_num="31" subtitle_num="04" chapter_num="17" heading="Variable Materials, Insert Pages, and Contracts Comprised of Sections.">
  <paragraph num="A.">
    <text>Variable Information.</text>
    <paragraph num="(1)">
      <text>Individual Contracts.</text>
      <paragraph num="(a)">
        <text>Except as specified in §A(1)(b) of this regulation, a carrier may not include variable material in an individual contract, or in a form to be used with an individual contract.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A carrier may include variable material in an individual contract or in a form to be used with an individual contract in the following portions of the form:</text>
        <paragraph num="(i)">
          <text>The specifications, data, or schedule page;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>The product marketing name;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>The address of the carrier;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Signatures of officers of the carrier;</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Descriptions of copayment amounts, deductibles, coinsurance amounts, out-of-pocket limits, annual maximums, or lifetime maximums;</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>Specific dates, such as effective dates and termination dates; and</text>
        </paragraph>
        <paragraph num="(vii)">
          <text>Descriptions of benefit amounts, benefit limits, waiting periods or elimination periods.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>If an individual contract or a form to be used with an individual contract contains variable material as permitted under §A(1)(b) of this regulation, the carrier shall:</text>
        <paragraph num="(i)">
          <text>Bracket the variable material or otherwise mark the variable material to denote variability; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Include a statement of variability, in duplicate, that discusses how each variable item may change.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(d)">
        <text>After an individual contract or a form to be used with an individual contract is approved with variable material, a carrier may not submit a new statement of variability to be used with the previously approved individual contract or form, except for the following:</text>
        <paragraph num="(i)">
          <text>Copayment amounts;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Coinsurance amounts;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Deductible amounts;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Out-of-pocket limits;</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Annual maximums;</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>Lifetime maximums;</text>
        </paragraph>
        <paragraph num="(vii)">
          <text>Benefit amounts;</text>
        </paragraph>
        <paragraph num="(viii)">
          <text>Benefit limits;</text>
        </paragraph>
        <paragraph num="(ix)">
          <text>Waiting periods; or</text>
        </paragraph>
        <paragraph num="(x)">
          <text>Elimination periods.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(e)">
        <text>A carrier shall include the following with a new statement of variability filing for a previously approved individual contract or form:</text>
        <paragraph num="(i)">
          <text>A cover letter identifying the carrier and the carrier's National Association of Insurance Commissioners company code number; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>The form number and date of approval of the form for which new variable material is being submitted.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Group Contracts.</text>
      <paragraph num="(a)">
        <text>A carrier may include variable material in a group contract or in a form to be used with a group contract, if the carrier:</text>
        <paragraph num="(i)">
          <text>Brackets the variable material or otherwise marks the variable material to denote variability; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Includes a statement of variability, in duplicate, that discusses how each variable item may change, including all textual variations that are intended.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>After a group contract or a form to be used with a group contract is approved with variable material, a carrier may not submit a new statement of variability to be used with the previously approved group contract or form, except for the following:</text>
        <paragraph num="(i)">
          <text>Copayment amounts;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Coinsurance amounts;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Deductible amounts;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Out-of-pocket limits;</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Annual maximums;</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>Lifetime maximums;</text>
        </paragraph>
        <paragraph num="(vii)">
          <text>Benefit amounts;</text>
        </paragraph>
        <paragraph num="(viii)">
          <text>Benefit limits;</text>
        </paragraph>
        <paragraph num="(ix)">
          <text>Waiting periods; or</text>
        </paragraph>
        <paragraph num="(x)">
          <text>Elimination periods.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>A carrier shall include the following with a new statement of variability filing for a previously approved group contract or form:</text>
        <paragraph num="(i)">
          <text>A cover letter identifying the carrier and the carrier's National Association of Insurance Commissioners company code number; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>The form number and date of approval of the form for which new variable material is being submitted.</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Contracts with Insert Pages.</text>
    <paragraph num="(1)">
      <text>A carrier may file for approval of a contract on an insert page basis, only if:</text>
      <paragraph num="(a)">
        <text>Each insert page is identified by a unique form number appearing in the lower left corner of the insert page; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The carrier includes the following in the filing submission:</text>
        <paragraph num="(i)">
          <text>A description of how the various insert pages will be combined;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>A listing of the insert pages that can be substituted for other specific insert pages; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>The filing fee required under Insurance Article, §2-112, Annotated Code of Maryland, for each insert page with a unique form number.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>A carrier may not file for approval of insert pages for use with a previously approved contract, if the previously approved contract was not approved on an insert page basis.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>If a carrier files for approval of insert pages for a previously approved contract, the submission shall:</text>
      <paragraph num="(a)">
        <text>Identify by form number and date of approval any insert pages that the new insert pages will replace; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Include a copy of the currently approved contract, unless the Commissioner waives the requirement or determines that a copy is not necessary to review the submission.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Contracts Comprised of Sections.</text>
    <paragraph num="(1)">
      <text>A carrier may file for approval of a contract on a sectional basis, only if:</text>
      <paragraph num="(a)">
        <text>Each section is identified by a unique form number appearing in the lower left corner of the first page of the section; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The carrier includes the following in the filing submission:</text>
        <paragraph num="(i)">
          <text>A description of how the various sections will be combined;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>A listing of the sections that can be substituted for other specific sections; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>The filing fee required under Insurance Article, §2-112, Annotated Code of Maryland, for each section with a unique form number.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>A carrier may not file for approval of sections for use with a previously approved contract, if the previously approved contract was not approved on a sectional basis.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>If a carrier files for approval of sections for a previously approved contract, the submission shall:</text>
      <paragraph num="(a)">
        <text>Identify by form number and date of approval any sections that the new sections will replace; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Include a copy of the currently approved contract, unless the Commissioner waives the requirement or determines that a copy is not necessary to review the submission.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>