WILLIAM DONALD SCHAEFER, Governor Ch. 781
individual hospital benefit policies; and defining a certain
term.
BY repealing and reenacting, with amendments,
Article 48A - Insurance Code
Section 361F, 470S, and 477Y
Annotated Code of Maryland
(1986 Replacement Volume and 1988 Supplement)
SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That the Laws of Maryland read as follows:
Article 48A - Insurance Code
361F.
(a) Except as otherwise provided in this section, the
Insurance Commissioner, in accordance with regulations issued by
him, shall permit health insurance policies to contain
nonduplication provisions or provisions to coordinate the
coverage with other health insurance policies, including those of
nonprofit health service plans, and those of commercial group,
blanket, and individual policies, and with other established
programs under which the insured may make a claim.
(b) Notwithstanding the provisions of subsection (a) of
this section or any other provision of this article, a nonprofit
health insurance policy or nonprofit health service plan may not
contain nonduplication provisions or provisions to coordinate
coverage with any individually underwritten and issued,
guaranteed renewable, specified disease policy, as defined in §
468H of this article, OR INTENSIVE CARE POLICY, OR ANY
INDIVIDUALLY UNDERWRITTEN AND ISSUED, GUARANTEED RENEWABLE,
LIMITED BENEFIT HOSPITAL INDEMNITY POLICY, EITHER OF which does
DO not provide benefits on an expense-incurred basis.
(C) FOR THE PURPOSES OF THIS SECTION, "INTENSIVE CARE
POLICY" MEANS A HEALTH INSURANCE POLICY THAT PROVIDES BENEFITS
ONLY WHEN TREATMENT IS RECEIVED IN THAT SPECIFICALLY DESIGNATED
FACILITY OF A HOSPITAL THAT PROVIDES THE HIGHEST LEVEL OF CARE
AND WHICH IS RESTRICTED TO THOSE PATIENTS WHO ARE PHYSICALLY,
CRITICALLY ILL OR INJURED.
470S.
(a) Except as otherwise provided in this section, the
Insurance Commissioner, in accordance with regulations issued by
him, shall permit health insurance policies to contain
nonduplication provisions or provisions to coordinate the
coverage with other health insurance policies, including those of
nonprofit health service plans, and those of commercial group,
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