Ch. 577
1995 LAWS OF MARYLAND
354Z.
(H) (1) EVERY NONPROFIT HEALTH SERVICES PLAN SHALL USE THE
UNIFORM PROVIDER VOUCHER FORM ADOPTED BY THE COMMISSION UNDER §
490BB OF THIS ARTICLE AS THE SOLE INSTRUMENT FOR PROVIDING THE
EXPLANATION OF PAYMENT FOR MEDICAL BENEFITS TO A PROVIDER.
(2) A NONPROFIT HEALTH SERVICE PLAN MAY NOT:
(I) MODIFY THE UNIFORM PROVIDER VOUCHER FORM; OR
(II) PROVIDE ADDITIONAL FORMS TO THE PROVIDER FOR THE
EXPLANATION OF MEDICAL BENEFITS.
361F.
(D) (1) IF A HEALTH INSURANCE POLICY ISSUED BY A NONPROFIT HEALTH
SERVICE PLAN CONTAINS A NONDUPLICATION PROVISION OR A PROVISION TO
COORDINATE THE COVERAGE WITH OTHER HEALTH INSURANCE POLICIES, THE
NONPROFIT HEALTH SERVICE PLAN SHALL USE THE UNIFORM COORDINATION OF
BENEFITS FORM ADOPTED BY THE COMMISSIONER UNDER § 490BB OF THIS ARTICLE
AS THE SOLE INSTRUMENT FOR DETERMINING NONDUPLICATION OR
COORDINATION OF COVERAGE WITH OTHER HEALTH INSURANCE POLICIES UNDER
WHICH THE INSURED MAY MAKE A CLAIM:
(2) A NONPROFIT HEALTH SERVICE PLAN MAY NOT IMPOSE AS A
CONDITION OF REIMBURSEMENT ANY REQUIREMENT TO:
(I) MODIFY THE UNIFORM COORDINATION OF BENEFITS FORM;
OR
(II) SUBMIT ADDITIONAL COORDINATION OF BENEFITS FORMS.
470S.
(D) (1) IF A HEALTH INSURANCE POLICY ISSUED BY AN INSURER CONTAINS
A NONDUPLICATION PROVISION OR A PROVISION TO COORDINATE THE COVERAGE
WITH OTHER HEALTH INSURANCE POLICIES, THE INSURER SHALL USE THE
UNIFORM COORDINATION OF BENEFITS FORM ADOPTED BY THE COMMISSIONER
UNDER § 490BB OF THIS ARTICLE AS THE SOLE INSTRUMENT FOR DETERMINING
NONDUPLICATION OR COORDINATION OF COVERAGE WITH OTHER HEALTH
INSURANCE POLICIES UNDER WHICH THE INSURED MAY MAKE A CLAIM.
(2) AN INSURER MAY NOT IMPOSE AS A CONDITION OF
REIMBURSEMENT ANY REQUIREMENT TO:
(I) MODIFY THE UNIFORM COORDINATION OF BENEFITS FORM;
OR
(II) SUBMIT ADDITIONAL COORDINATION OF BENEFITS FORMS.
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