Plain Text Law

Chapter 13. Limited Benefit Plan — Disclosure Statement

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Regulation .01 Scope.Copy Citation

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This chapter applies to all carriers that offer the Limited Benefit Plan to the small employer market.

Regulation .02 Definitions.Copy Citation

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A.
In this chapter, the following terms have the meanings indicated.
B.
Terms Defined.
(1)
“Carrier” has the meaning stated in Insurance Article, §15-1201, Annotated Code of Maryland.
(2)
“Comprehensive Standard Health Benefit Plan” means the health benefit plan adopted by the Maryland Health Care Commission in accordance with Insurance Article, §15-1207, and Health-General Article, Title 19, Subtitle 1, Annotated Code of Maryland.
(3)
“Limited Benefit Plan” means the Limited Health Benefit Plan adopted by the Maryland Health Care Commission in accordance with Insurance Article, §15-1207, and Health-General Article, Title 19, Subtitle 1, Annotated Code of Maryland.
(4)
“Small employer” has the meaning stated in Insurance Article, §15-1201, Annotated Code of Maryland.

Regulation .03 Required Notice — Limited Benefit Plan.Copy Citation

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A.
When a carrier offers the Limited Benefit Plan to a small employer qualified under Insurance Article, §15-1209, Annotated Code of Maryland, and the small employer chooses the Limited Benefit Plan, the carrier shall obtain a signed disclosure statement certifying that:
(1)
The small employer was offered the Limited Benefit Plan; and
(2)
The small employer received notice that more comprehensive coverage is available under the Comprehensive Standard Health Benefit Plan.
B.
The disclosure statement required in §A of this regulation shall be in at least 12-point type and shall read as follows:
C.
The carrier shall maintain the signed disclosure statement for not less than 5 years.
Chapter annotations
Authority: Insurance Article, §§2-109 and 15-207, Annotated Code of Maryland; Ch. 287, Acts of 2004
History: Effective date:
History: Regulations .01—.03 adopted as an emergency provision effective July 1, 2005 (32:15 Md. R. 1315); emergency status extended at 33:4 Md. R. 350; adopted permanently effective January 16, 2006 (33:1 Md. R. 40)