<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 31.12.07.03" title_num="31" subtitle_num="12" chapter_num="07" heading="Required Standard Provisions.">
  <paragraph num="A.">
    <text>A group contract may not be delivered in Maryland unless it contains in substance the provisions:</text>
    <paragraph num="(1)">
      <text>Listed in Regulation .04 of this chapter; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Which in the opinion of the Commissioner, as compared to the provisions in Regulation .04 of this chapter, are:</text>
      <paragraph num="(a)">
        <text>More favorable to the members, or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>At least as favorable to the members and more favorable to the group contract holder.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>An individual contract may not be delivered in Maryland unless it contains in substance the provisions:</text>
    <paragraph num="(1)">
      <text>Listed in Regulation .05 of this chapter; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Which in the opinion of the Commissioner, as compared to the provisions in Regulation .05 of this chapter, are at least as favorable to the subscriber and members.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>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 HMO shall:</text>
    <paragraph num="(1)">
      <text>Omit from the contract the inapplicable provision or part of the provision; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Modify the inconsistent provision or part of the provision to make it consistent with the coverage provided by the contract.</text>
    </paragraph>
  </paragraph>
</regulation>