Sec. 31.04.17.13. Prohibited Coverage  


Latest version.
  • A. Health Insurance Coverage Prohibited in Individual Life Insurance Policies. An ordinary or industrial life insurance policy may not include a health insurance benefit, except for the following types of benefits:

    (1) Long-term care coverage;

    (2) Accidental death and dismemberment coverage;

    (3) Waiver of premium for permanent disability coverage;

    (4) Acceleration of death benefit for terminal illness or chronic condition;

    (5) Benefits for a second opinion for health conditions specified in the policy; or

    (6) Benefits that:

    (a) Provide a lump-sum benefit for a disease specified in the policy; and

    (b) Meet the requirements established by the Commissioner under Insurance Article, §15-109, Annotated Code of Maryland.

    B. Natural Death Benefit Prohibited in Individual Health Insurance Policies.

    (1) Except as provided in §B(2) of this regulation, a health insurance policy subject to Insurance Article, Title 15, Subtitle 2, Annotated Code of Maryland, or any supplementary benefit under such a policy, may not provide a natural death benefit.

    (2) A disability income policy may provide a survivor benefit, provided the survivor benefit does not exceed 3 times the last full monthly disability income benefit.