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31.10.37.00.htm 31.10.37.00. Title 31 MARYLAND INSURANCE ADMINISTRATION Subtitle 10 HEALTH INSURANCE ― GENERAL Chapter 37 Delivery of Policy or Certificate Authority: Health-General Article, §19-705(a)2) and 19-729; Insurance Article, §2-109(a)1) 4-113, and 12-203; Annotated Code of Maryland
31.10.37.01.htm 31.10.37.01. 01 Purpose.. The purpose of this chapter is to establish time frames in which carriers are required to provide:. A. Health insurance contracts, nonprofit health service plan contracts, health maintenance organization contracts, and dental plan organization contracts to individual contract holders and group contract holders; andB. Health insurance certificates, nonprofit health service plan certificates, health maintenance organization certificates, and dental plan organizati
31.10.37.02.htm 31.10.37.02. 02 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) "Blanket insurance" has the meaning stated in Insurance Article, §15-305, Annotated Code of Maryland.2) "Carrier" means any of the following:. a) An insurer;. b) A nonprofit health service plan;. c) A health maintenance organization; and. d) A dental plan organization.. 3) "Certificate" or "summary plan description" means the benefit summary that sets forth the essenti
31.10.37.03.htm 31.10.37.03. 03 Delivery Requirements for Contracts and Policies.. A. Except as described in §B of this regulation, a carrier shall deliver an individual health insurance contract, an individual nonprofit health service plan contract, an individual health maintenance organization contract, or an individual dental plan organization contract to the contract holder within 60 days of the effective date of the contract.B. If a carrier back dates an individual health insurance contract so that
31.10.37.04.htm 31.10.37.04. 04 Delivery Requirements for Certificates.. A. A carrier shall deliver a certificate under a group health insurance contract, a group nonprofit health service plan contract, a group health maintenance organization contract, or a group dental plan organization contract to the:1) Certificate holder within 60 days of the effective date of the certificate holder's coverage; or. 2) Group contract holder within 60 days of the effective date of the certificate holder's effective
31.10.37.05.htm 31.10.37.05. 05 Compliance.. Failure of a carrier to deliver a contract or certificate as provided in Regulations .03 and .04 of this chapter shall constitute:A. A violation of Insurance Article, §4-113, Annotated Code of Maryland, for a carrier, other than a health maintenance organization; orB. A violation of Health-General Article, §19-729, Annotated Code of Maryland, for a health maintenance organization.
31.10.37.9999.htm 31.10.37.9999. Administrative History Effective date: January 14, 2010 (37:1 Md. R. 16).
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