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31.11.05.00.htm 31.11.05.00. Title 31 MARYLAND INSURANCE ADMINISTRATION Subtitle 11 HEALTH INSURANCE ― GROUP Chapter 05 Group Health Insurance Options for Alzheimer's Disease and for Diseases of the Elderly Authority: Insurance Article, §2-109, 14-124(b) and 15-801, Annotated Code of Maryland
31.11.05.01.htm 31.11.05.01. 01 Scope.. A. This chapter is applicable to all group health insurance policies issued or renewed in Maryland on or after July 1, 1987, except as noted below.B. Any group health insurance policy issued before the effective date of this chapter shall be subject to this chapter on the annual renewal date of the policy falling on or next following the effective date.C. This chapter is not applicable to group health insurance policies which:.
31.11.05.02.htm 31.11.05.02. 02 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) "Alzheimer's disease" means a progressive brain disease diagnosed as Alzheimer's disease by the insured's licensed attending physician and confirmed by a second opinion of a licensed physician.2) "Diseases of the elderly" means any disease, illness, injury, or medical condition which has caused the elderly insured to become functionally impaired or disabled so as to
31.11.05.03.htm 31.11.05.03. 03 Required Health Insurance Options.. Each insurer shall offer the following options for its group health insurance policies:. A. One option to cover Alzheimer's disease; and. B. One option to cover Alzheimer's disease as well as diseases of the elderly..
31.11.05.04.htm 31.11.05.04. 04 Required Coverage.. A. The coverages provided by the required health insurance options shall include, but are not limited to:1) The institutional and professional care expenses for nursing home care alone, or in addition to intermediate or custodial nursing care, while confined in a nursing home or other custodial care facility or institution; and2) Expenses for the type of care described in §A(1) of this regulation for an insured who is not confined to a facility or institution.
31.11.05.9999.htm 31.11.05.9999. Administrative History Effective date: December 28, 1987 (14:26 Md. R. 2745) ―. Chapter recodified from COMAR 09.30.80 to COMAR 31.11.05, July 1998.
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