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31.10.09.00.htm 31.10.09.00. Title 31 MARYLAND INSURANCE ADMINISTRATION Subtitle 10 HEALTH INSURANCE ― GENERAL Chapter 09 Hospice Care Benefits Authority: Insurance Article, §2-109, 12-204, 12-205, and 15-809; Health-General Article, §19-703(c) and 19-901; Annotated Code of Maryland
31.10.09.01.htm 31.10.09.01. 01 Scope.. A. This chapter is applicable to each:. 1) Group, blanket, or individual health insurance contract written on an expense-incurred basis which is issued or renewed in the State on or after April 1, 1997;2) Individual or group nonprofit health service plan contract which is issued or renewed on or after April 1, 1997; and3) Individual or group contract issued or renewed by a health maintenance organization on or after April 1, 1997.B. This chapter does not
31.10.09.02.htm 31.10.09.02. 02 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) "Bereavement counseling" means counseling provided to the immediate family or family caregiver of the insured after the insured's death to help the immediate family or family caregiver cope with the death of the insured.2) "Carrier" means an insurer, a nonprofit health service plan, or a health maintenance organization.3) Expense Incurred.. a) "Expense incurred" mea
31.10.09.03.htm 31.10.09.03. 03 Required Hospice Care Benefit Options.. A. A carrier shall offer the policyholder the option of purchasing the minimum hospice care benefits required by this chapter when the policyholder applies for coverage.B. Contracts Issued Before April 1, 1997.. 1) Except as provided in §B(2) of this regulation, if a policyholder purchases a contract with hospice care benefits before April 1, 1997, the carrier shall revise the contract to include at least the minimum benefits require
31.10.09.04.htm 31.10.09.04. 04 Minimum Hospice Care Benefits.. A. Except as provided in §B of this regulation, the hospice care benefit offered shall include the following minimum benefits provided through a hospice care program:1) 30 days of inpatient care per insured;. 2) Part-time nursing care by or supervised by a registered graduate nurse;. 3) Counseling, including dietary counseling, for the terminally ill insured;. 4) Family counseling for the immediate family and the family caregiver befo
31.10.09.05.htm 31.10.09.05. 05 Prohibited Exclusions and Limitations.. A. The hospice care benefit may not be subject to a lifetime maximum which is separate from the lifetime maximum applicable to other benefits in the contract.B. The hospice care benefit may not be subject to an annual maximum benefit which is separate from the annual maximum applicable to other benefits in the contract.C. A carrier may not exclude immediate family members or family caregivers of the insured from the f
31.10.09.9999.htm 31.10.09.9999. Administrative History Effective date: April 7, 1997 (24:7 Md. R. 553) ―. Chapter recodified from COMAR 09.31.15 to COMAR 31.10.09, July 1998.
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