Plain Text Law

Regulation .03 Required Standard Provisions.

Regulation .03 Required Standard Provisions.Copy Citation

A.
A group health insurance contract may not be delivered in Maryland unless it contains in substance the provisions:
(1)
Listed in Regulation .04 of this chapter; or
(2)
Which in the opinion of the Commissioner, as compared to the provisions in Regulation .04 of this chapter, are:
(a)
More favorable to the individuals insured, or
(b)
At least as favorable to the individuals insured and more favorable to the policyholder.
B.
A blanket health insurance contract may not be delivered in Maryland unless it contains in substance the provisions:
(1)
Listed in Regulation .05 of this chapter; or
(2)
Which in the opinion of the Commissioner, as compared to the provisions in Regulation .05 of this chapter, are:
(a)
More favorable to the individuals insured, or
(b)
At least as favorable to the individuals insured and more favorable to the policyholder.
C.
Inapplicable and Inconsistent Provisions. If a provision required by Regulation .04 or .05 of this chapter is wholly or partly inapplicable to or inconsistent with the coverage provided by a particular contract, the carrier shall:
(1)
Omit from the contract the inapplicable provision or part of the provision; or
(2)
Modify the inconsistent provision or part of the provision to make it consistent with the coverage provided by the contract.