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<regulation prefix="Regulation" num=".18" citation="COMAR 31.14.01.18" title_num="31" subtitle_num="14" chapter_num="01" heading="Outline of Coverage.">
  <paragraph num="A.">
    <text>An insurer or the agent soliciting long-term care coverage shall deliver to a prospective applicant, at the time of the initial solicitation, an outline of coverage in a manner which prominently directs the attention of the recipient to the document and its purpose.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Time of Delivery. In the case of:</text>
    <paragraph num="(1)">
      <text>Solicitation by an agent, the agent shall deliver the outline of coverage before presenting an applicant or enrollment form to the prospective applicant;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Direct response solicitations, the insurer shall deliver the outline of coverage in conjunction with any application or enrollment form.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>The outline of coverage shall include:</text>
    <paragraph num="(1)">
      <text>A description of the principal benefits and coverage provided under the policy or certificate;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A statement of the principle exclusions, reductions, and limitations under the policy or certificate;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A statement of the renewal provisions, including any reservation of the insurer's right to change the schedule of premiums;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>A statement of probable or expected premium increases, or additional premiums to pay for automatic or optional benefit increases, with these being presented in tabular form together with a graphic demonstration of the magnitude of potential premiums the applicant will need to pay from the effective date of the coverage up to age 75;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>A statement that the outline of coverage is a summary of the coverage applied for and that the individual policy or the group master policy should be consulted to determine the governing contractual provisions;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>A statement of the terms under which the policy or certificate may be returned for a refund of the premium;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>A brief description of the relationship of cost of care and benefits; and</text>
    </paragraph>
    <paragraph num="(8)">
      <text>A statement that discloses to the policyholder or certificate holder whether the policy is intended to be a federally tax-qualified long-term care insurance contract under §7702B(b) of the Internal Revenue Code of 1986, as amended.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>The format of the outline of coverage shall comply with the following:</text>
    <paragraph num="(1)">
      <text>The outline of coverage shall be a free-standing document printed in at least 12-point or larger type;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The outline of coverage may not contain any material of an advertising nature;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Text which is capitalized or underscored in the standard format outline of coverage may be emphasized by other means which provide prominence equivalent to capitalization or underscoring;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Use of the text and sequence of the standard format outline of coverage is mandatory, unless otherwise specifically indicated.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>The insurer shall use the standard format and the required text of the outline of coverage shown in Regulation .21 of this chapter.</text>
  </paragraph>
</regulation>