Ch. 242

1993 LAWS OF MARYLAND

(II) ANY OTHER PRODUCT THAT IS ADVERTISED, MARKETED, OR
OFFERED AS LONG-TERM CARE INSURANCE.

[(2)] (3) "Long-term care insurance" does not include any insurance policy,
contract, or rider which is offered primarily to provide:

(i)     Basic medicare supplement coverage;

(ii)    Hospital confinement indemnity coverage;

(iii)   Basic hospital expense_;or medical surgical expense coverage;

(iv)    Disability income protection coverage;                           

(v) Accident coverage only;

(vi)    Specified disease or specified accident coverage; or

(vii) Skilled nursing care.

(4) "LONG-TERM CARE INSURANCE" DOES NOT INCLUDE A LIFE
INSURANCE POLICY:

(I)      THAT ACCELERATES THE DEATH BENEFIT SPECIFICALLY FOR:

1.        ONE OR MORE OF THE QUALIFYING EVENTS OF
TERMINAL ILLNESS;

2.       A MEDICAL CONDITION REQUIRING EXTRAORDINARY
MEDICAL INTERVENTION; OR

3.        PERMANENT INSTITUTIONAL CONFINEMENT;

(II)     THAT PROVIDES THE OPTION OF A LUMP-SUM PAYMENT FOR
THOSE BENEFITS; OR

(III)   IN WHICH NEITHER BENEFITS NOR ELIGIBILITY FOR BENEFITS
IS CONDITIONED ON RECEIPT OF LONG-TERM CARE.

(H) "LOSS. RATIO" MEANS THE RATIO OF LOSSES INCURRED TO PREMIUMS
EARNED ON POLICIES ISSUED, DELIVERED, OR RENEWED IN THE STATE:

[(f)] (I) "Preexisting condition" means a condition for which medical advice or
treatment was recommended by, or received from, a provider of health care services
within [9] 6 months prior to the effective date of coverage of the insured or certificate
holder.

(J) "SERVICE BENEFIT POLICY" MEANS A LONG-TERM CARE INSURANCE
POLICY THAT PROVIDES FOR BENEFITS BASED ON THE AMOUNT OF EXPENSES
INCURRED, RATHER THAN ON AN INDEMNITY BASIS...

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