WILLIAM DONALD SCHAEFER, Governor Ch. 474
(2) If the proposed policy excludes or limits
benefits for preexisting conditions, a statement shall be given
that describes in plain language these limitations or exclusions.
(3) If the proposed policy provides coverage for care
in a skilled nursing facility that is approved by 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) (i) If the proposed policy does not comply with
the requirements [of subparagraphs (i), (ii), and (iii)] of [§
468C(b)(l)] § 468C of this subtitle for a Medicare supplement
policy, a statement printed in a 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. You should consult
the buyer's guide provided to you with this policy".
[However, if the proposed policy complies with the
requirements of subparagraphs (i), (ii), and (iii) of Section
468C(b)(l), but does not comply with the other requirements of
Section 468C of this subtitle, a statement printed in 12-point
type shall be given that:
"This policy is not a complete Medicare supplement policy.
It is not designed to completely fill the 'gaps' of
Medicare. You should consult with the buyer's guide
provided to you with this policy".]
(ii) Notwithstanding the provisions of
subparagraph (i) of this paragraph, the Commissioner shall adopt
regulations necessary to make the provisions of this paragraph
conform to the requirements of applicable federal law.
(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:
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