Code of Maryland Regulations (Last Updated: April 6, 2021) |
Title 31. Maryland Insurance Administration |
Subtitle 10. HEALTH INSURANCE—GENERAL |
Chapter 31.10.01. Health Insurance |
Chapter 31.10.02. Health Insurance—Simplified Language |
Chapter 31.10.03. Health Insurance—Stop-Loss Coverage [Repealed] |
Chapter 31.10.04. Health Insurance—Plan of Withdrawal |
Chapter 31.10.05. Minimum Standards for Medicare Supplement Policies |
Chapter 31.10.06. Standards for Medicare Supplement Policies |
Chapter 31.10.07. Limited Benefits Policies—Reporting Requirements [Repealed] |
Chapter 31.10.08. Limited Benefits Policies—Minimum Loss Ratio [Repealed] |
Chapter 31.10.09. Hospice Care Benefits |
Chapter 31.10.10. Summary Explanation of Benefits |
Chapter 31.10.11. Uniform Claims Forms |
Chapter 31.10.12. Uniform Consultation Referral |
Chapter 31.10.13. Return of Premium, Cash Surrender, or Other Nonforfeiture Benefits in Health Insurance Policies |
Chapter 31.10.14. Minimum Loss Ratio with Respect to Specified Disease Policies |
Chapter 31.10.15. Substantial, Available, and Affordable Coverage Plan [Repealed] |
Chapter 31.10.16. Carrier Provider Panels—Application Process |
Chapter 31.10.17. Health Care Consumer Information and Education Act |
Chapter 31.10.18. Denials of Coverage Based on Medical Necessity |
Chapter 31.10.19. Independent Review Organizations and Medical Experts |
Chapter 31.10.20. Certification of HMO Medical Directors |
Chapter 31.10.21. Private Review Agents |
Chapter 31.10.22. Provider - Sponsored Organizations |
Chapter 31.10.23. Penalties for Failure to Make Prompt Payment of Claims |
Chapter 31.10.24. Discount Medical Plan Organizations and Discount Drug Plan Organizations |
Chapter 31.10.25. Required Standard Provisions for Individual Nonprofit Health Service Plan Contracts |
Chapter 31.10.26. Uniform Credentialing Form |
Chapter 31.10.27. Health Insurance—Notice of the Maryland Health Insurance Plan [Repealed] |
Chapter 31.10.28. Individual Health Insurance Contracts—Standard Provisions and Exclusions |
Chapter 31.10.29. Complaint Process for Coverage Decisions |
Chapter 31.10.30. Disability Benefit Claims Procedure |
Chapter 31.10.31. Behavioral Health Care Expense Form |
Chapter 31.10.32. Nonprofit Health Service Plans—Material Modification |
Chapter 31.10.33. Utilization Review of Surgical Treatment of Morbid Obesity |
Chapter 31.10.34. Carrier Provider Panels |
Chapter 31.10.35. Domestic Partner Coverage |
Chapter 31.10.36. Pharmacy Benefit Managers—Approval of an Accrediting Organization |
Chapter 31.10.37. Delivery of Policy or Certificate |
Chapter 31.10.38. Wellness Program Incentives |
Chapter 31.10.39. Utilization Review of Treatment for Autism and Autism Spectrum Disorders |
Chapter 31.10.40. Child Only Policies [Repealed] |
Chapter 31.10.41. Assignment of Benefits to Nonpreferred Providers |
Chapter 31.10.42. Continuity of Health Care Notice |
Chapter 31.10.43. Medical Stop-Loss Insurance Disclosure |
Chapter 31.10.44. Network Adequacy |
Chapter 31.10.45. Dental Network Adequacy |
Chapter 31.10.46. Pharmacy Benefits Managers—Maximum Allowable Cost |
Chapter 31.10.47. Cost Pricing and Reimbursement Other than MAC |
Chapter 31.10.48. Filing of Contracts and Amendments |