HARRY HUGHES, Governor

1035

rates effective on January 1, 1976, is deleted as
obsolete.

Defined terms: "Commissioner" § 19-701
"Department" § 1-101 "Subscriber" § 19-701
"Health maintenance organization" § 19-701

19-714. MARKETING DOCUMENTS.

EACH MARKETING DOCUMENT THAT SETS FORTH THE HEALTH CARE
SERVICES OF A HEALTH MAINTENANCE ORGANIZATION SHALL DESCRIBE
FULLY AND CLEARLY:

(1)  THE HEALTH CARE SERVICES UNDER EACH BENEFIT
PACKAGE AND EVERY OTHER BENEFIT TO WHICH A MEMBER IS
ENTITLED;

(2)  WHERE AND HOW SERVICES MAY BE OBTAINED;

(3) EACH EXCLUSION OR LIMITATION ON ANY SERVICE

OR OTHER BENEFIT THAT IT PROVIDES;

(4) EACH DEDUCTIBLE FEATURE; AND

(5} EACH COPAYMENT PROVISION.

REVISOR'S NOTE: This section formerly appeared as
Article 43, § 846(a).

The only changes are in style.

Defined terms: "Benefit package" § 19-701
"Health care services" § 19-701
"Health maintenance organization" § 19-701
"Member" § 19-701

19-715. APPLICATION OR OFFER OF ENROLLMENT.

EACH HEALTH MAINTENANCE ORGANIZATION APPLICATION OR
OFFER OF ENROLLMENT SHALL CONTAIN OR BE ACCOMPANIED BY, AND
EACH FORM OF HEALTH MAINTENANCE ORGANIZATION SUBSCRIBER
CONTRACT SHALL CONTAIN, A FULL AND CLEAR STATEMENT OF:

(1)  THE ITEMS SPECIFIED IN § 19-714 OF THIS
SUBTITLE;

(2)  THE RATE OF PERIODIC PAYMENT;

(3)  WHEN THE COVERAGE IS EFFECTIVE AND WHAT
RESTRICTIONS, IF ANY, APPLY TO PREEXISTING CONDITIONS;

(4)  ALL STANDARDS FOR CANCELLATION OF ENROLLMENT
OR DENIAL OF REENROLLMENT; AND

(5) SERVICE PRIORITIES, IF ANY, IN EPIDEMIC OR