<?xml version='1.0' encoding='utf-8'?>
<chapter num="09" heading="Solicitation of Coverage under Group Health or Blanket Health Insurance Policy Issued in Another Jurisdiction" title_num="31" subtitle_num="11">
  <regulation prefix="Regulation" num=".01" heading="Scope.">
    <text>This chapter applies to all insurers seeking to solicit coverage in this State under a group health or blanket health insurance policy issued in another jurisdiction.</text>
  </regulation>
  <regulation prefix="Regulation" num=".02" heading="Standards for Approval to Solicit.">
    <paragraph num="A.">
      <text>An insurer seeking the Commissioner's approval to solicit coverage in this State under a group health or blanket health insurance policy issued in another jurisdiction shall submit to the Commissioner documentation sufficient to enable the Commissioner to determine whether the type of group to be covered conforms substantially to one of the types of groups described in Insurance Article, §15-302 or 15-305, Annotated Code of Maryland. An insurer may not solicit this coverage in Maryland until the Commissioner has made that determination.</text>
    </paragraph>
    <paragraph num="B.">
      <text>If the Commissioner determines that the type of group to be covered conforms substantially to one of the types of groups described in Insurance Article, §15-302 or 15-305, Annotated Code of Maryland, the insurer shall file with the Commissioner all forms and endorsements necessary to demonstrate that the insurer provides all of the applicable benefits which are required by Insurance Article, Annotated Code of Maryland, to be included in a group health or blanket health insurance policy issued in another jurisdiction.</text>
    </paragraph>
    <paragraph num="C.">
      <text>If the Commissioner determines that the type of group to be covered does not conform substantially to one of the types of groups described in Insurance Article, §15-302 or 15-305, Annotated Code of Maryland, the insurer shall submit to the Commissioner each policy form, certificate form, application form, rider, and endorsement which it proposes to use in connection with insurance coverage provided to Maryland residents.</text>
    </paragraph>
    <paragraph num="D.">
      <text>Each filing made pursuant to these regulations shall be made not less than 60 days in advance of the form's use. At the expiration of the 60-day period, unless extended by the Commissioner an additional 30 days, the right to solicit the filed coverage is considered approved unless the Commissioner has previously approved or disapproved the right to solicit the filed coverage.</text>
    </paragraph>
    <paragraph num="E.">
      <text>The Commissioner may at any time withdraw approval previously given by sending to the insurer, not less than 30 days in advance of the effective date of the Commissioner's action, a notice of withdrawal setting forth the grounds for withdrawal in sufficient detail as to reasonably apprise the insurer of the basis for withdrawal.</text>
    </paragraph>
    <paragraph num="F.">
      <text>Approval to solicit coverage in this State may not be given if any of the forms fail to contain those applicable benefits which are required by Insurance Article, Annotated Code of Maryland, to be included in a group or blanket health insurance policy issued in another jurisdiction.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".03" heading="Notice to Insured Concerning Mandated Benefits.">
    <text>An insurer who seeks to solicit coverage for Maryland residents under a group health or blanket health insurance policy issued in another jurisdiction shall include in the certificate form used in connection with the coverage, a notice on the first page in 12-point bold type that the policy may omit some of the benefits required for a policy issued and delivered in Maryland.</text>
  </regulation>
  <annotations>
    <annotation type="Authority">Insurance Article, §§2-109, 4-205, and 15-310, Annotated Code of Maryland</annotation>
    <annotation type="History" subtype="Administrative History">Effective date: September 1, 1966</annotation>
    <annotation type="History" subtype="Administrative History">Amended effective May 1, 1968</annotation>
    <annotation type="History" subtype="Administrative History">Chapter, Excess of Loss and Catastrophe Coverage—Suspension of General Filing Requirements, repealed effective March 6, 1989 (16:4 Md. R. 497)</annotation>
    <annotation type="History" subtype="Administrative History">Regulations .01—.03, Solicitation of Coverage Under Group Health or Blanket Health Insurance Policy Issued in Another Jurisdiction, adopted effective April 27, 1992 (19:8 Md. R. 804)</annotation>
    <annotation type="History" subtype="Administrative History">Regulations .01—.03 amended effective November 9, 1992 (19:22 Md. R. 1988)</annotation>
    <annotation type="History" subtype="Administrative History">Chapter recodified from COMAR 09.30.35 to COMAR 31.11.09 effective September 7, 1998 (25:18 Md. R. 1439)</annotation>
  </annotations>
</chapter>