Code of Maryland Regulations (Last Updated: April 6, 2021) |
Title 31. Maryland Insurance Administration |
Subtitle 10. HEALTH INSURANCE—GENERAL |
Chapter 31.10.25. Required Standard Provisions for Individual Nonprofit Health Service Plan Contracts |
Sec. 31.10.25.03. Required Standard Provisions
Latest version.
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A. An individual contract may not be delivered in Maryland unless it contains in substance the provisions listed in Regulation .04 of this chapter, or provisions which in the opinion of the Commissioner are not less favorable in any respect to the subscriber and covered individuals.
B. Inapplicable and Inconsistent Provisions. If a provision required by Regulation .04 of this chapter is wholly or partly inapplicable to or inconsistent with the coverage provided by a particular contract, the carrier shall:
(1) Omit from the contract the inapplicable provision or part of the provision; or
(2) Modify the inconsistent provision or part of the provision to make it consistent with the coverage provided by the contract.