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Session Laws, 1997
Volume 795, Page 1000   View pdf image
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Ch. 35

1997 LAWS OF MARYLAND

EACH POLICY OF BLANKET HEALTH INSURANCE SHALL CONTAIN A PROVISION

THAT:

(1) BENEFITS PAYABLE UNDER THE POLICY, OTHER THAN BENEFITS
FOR LOSS OF TIME, ARE PAYABLE IMMEDIATELY ON THE INSURER'S RECEIPT OF
WRITTEN PROOF OF LOSS; AND

(2) SUBJECT TO PROOF OF LOSS:

(I) ACCRUED BENEFITS PAYABLE UNDER THE POLICY FOR LOSS
OF TIME ARE PAYABLE NO LATER THAN AT THE END OF EACH PERIOD OF 30 DAYS
DURING THE PERIOD FOR WHICH THE INSURER IS LIABLE; AND

(II) ANY BALANCE REMAINING UNPAID AT THE END OF THAT
PERIOD IS PAYABLE IMMEDIATELY ON THE INSURER'S RECEIPT OF PROOF OF LOSS.

(G) PHYSICAL EXAMINATIONS AND AUTOPSY.

EACH POLICY OF BLANKET HEALTH INSURANCE SHALL CONTAIN A PROVISION
THAT AT ITS OWN EXPENSE, THE INSURER MAY EXAMINE THE PERSON OF THE
INSURED WHEN AND AS OFTEN AS THE INSURER MAY REASONABLY REQUIRE
DURING THE PENDENCY OF A CLAIM UNDER THE POLICY AND MAY MAKE AN
AUTOPSY OF THE INSURED IF NOT PROHIBITED BY LAW.

(H) TIME FOR BRINGING LEGAL ACTIONS.

EACH POLICY OF BLANKET HEALTH INSURANCE SHALL CONTAIN A PROVISION
THAT AN ACTION AT LAW OR IN EQUITY MAY NOT BE BROUGHT TO RECOVER
UNDER THE POLICY:

(1) EARLIER THAN 60 DAYS AFTER WRITTEN PROOF OF LOSS IS
SUBMITTED IN ACCORDANCE WITH THE REQUIREMENTS OF THE POLICY; OR

(2) LATER THAN 3 YEARS AFTER THE TIME WRITTEN PROOF OF LOSS IS
REQUIRED TO BE SUBMITTED.

REVISOR'S NOTE: This section is new language derived without substantive
change from the third sentence and items (1) through (7) of former Art. 48A,
§ 475.

In subsection (d)(1) of this section, the former reference to an insurer
providing forms "as are usually furnished by it" is deleted as surplusage.

In subsection (d)(2) of this section, the reference to notice "of sickness or
injury" is added to conform with the terminology of subsection (c)(1) of this
section.

In subsection (f)(1) and (2)(ii) of this section, the references to the "insurer's"
receipt of proof of loss are added for clarity.

In subsection (g) of this section, the reference to making an autopsy "of the
insured" is added for clarity.

Also in subsection (g) of this section, the former phrase "in case of death",

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Session Laws, 1997
Volume 795, Page 1000   View pdf image
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