1086

LAWS OF MARYLAND

Ch. 268

MEDICARE, BUT THE POLICY DOES NOT PROVIDE COVERAGE FOR CARE
IN OTHER NURSING HOMES OR FOR CUSTODIAL OR REST HOME CARE,
A STATEMENT SHALL BE GIVEN THAT DESCRIBES CLEARLY THOSE
EXPENSES THAT THE POLICY DOES NOT COVER.

(4)  IF THE PROPOSED POLICY DOES NOT COMPLY WITH
THE REQUIREMENTS OF § 468C OF THIS SUBTITLE FOR A MEDICARE
SUPPLEMENT POLICY, A STATEMENT PRINTED IN 12-POINT TYPE
SHALL BE GIVEN THAT:

"THIS POLICY IS NOT A MEDICARE SUPPLEMENT
POLICY. IT IS NOT DESIGNED TO FILL THE
'GAPS' OF MEDICARE."

(5)  IF THE PROPOSED POLICY PAYS BENEFITS ONLY
FOR ACCIDENT, A STATEMENT PRINTED IN 12-POINT TYPE SHALL BE
GIVEN THAT CONTAINS THE LANGUAGE REQUIRED BY SUBSECTION
(C)(4) OF THIS SECTION AS WELL AS THE FOLLOWING LANGUAGE:

"THIS IS AN ACCIDENT ONLY POLICY. IT DOES
NOT PAY BENEFITS FOR LOSS DUE TO SICKNESS."

(6)  IF THE PROPOSED POLICY DOES NOT INCLUDE THE
COVERAGE THAT MUST BE OFFERED BY AN INSURER UNDER §
468C(B)(2) OF THIS SUBTITLE, A STATEMENT SHALL BE GIVEN THAT
THE INSURED IS ENTITLED TO PURCHASE BUT HAS REJECTED THE
COVERAGE AVAILABLE UNDER ARTICLE 48A, § 468C(B)(2) OF THE
ANNOTATED CODE FOR:

(I)  90 PERCENT OF ALL MEDICARE PART A
ELIGIBLE EXPENSES FOR HOSPITALIZATION FOR A PERIOD OF 365
DAYS NOT COVERED BY MEDICARE; AND

(II)  THE INITIAL ANNUAL DEDUCTIBLE AND 20
PERCENT OF THE AMOUNT OF MEDICARE ELIGIBLE EXPENSES UNDER
MEDICARE PART B.

(D) THE INSURER SHALL GIVE A COPY OF THE MEDICARE
SUPPLEMENT GUIDE TO ANY PERSON COVERED UNDER A GROUP HEALTH
INSURANCE POLICY WHEN THAT PERSON REACHES THE AGE OF
ELIGIBILITY FOR MEDICARE. THE INSURER ALSO SHALL GIVE THE
PERSON ANY OF THE INFORMATION REQUIRED UNDER SUBSECTION
(C)(2), (3), (4), AND (5) OF THIS SECTION THAT MAY BE
APPLICABLE TO THE CONTINUING COVERAGE UNDER THE GROUP POLICY
OF THE PERSON ELIGIBLE FOR MEDICARE.

468G.

(A)  WHEN SOLICITING THE SALE OF A HEALTH INSURANCE
POLICY, AN INSURER OR AGENT MAY NOT KNOWINGLY OFFER A
MEDICARE POLICY SUPPLEMENT TO A PERSON NOT ELIGIBLE FOR
MEDICARE.

(B)  WHEN SOLICITING OR ADVERTISING THE SALE OF A
HEALTH INSURANCE POLICY TO A PERSON ELIGIBLE FOR MEDICARE,
AN INSURER OR AGENT MAY NOT: