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Session Laws, 1997
Volume 795, Page 1031   View pdf image
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PARRIS N. GLENDENING, Governor

Ch. 35

(3) IN ESTABLISHING MINIMUM REQUIREMENTS, THE COMMISSIONER
MAY ESTABLISH EXCLUSIONS AND BENEFIT LIMITATIONS THAT THE COMMISSIONER
CONSIDERS APPROPRIATE.

(H) SAME — PREMIUM.

THE PREMIUM FOR AN INDIVIDUAL POLICY ISSUED UNDER THIS SECTION
SHALL BE DETERMINED IN ACCORDANCE WITH THE INSURER'S OR NONPROFIT
HEALTH SERVICE PLAN'S TABLE OF PREMIUM RATES THAT IS APPLICABLE TO THE
AGE AND CLASS OF RISK OF EACH INDIVIDUAL COVERED UNDER THE POLICY AND
TO THE TYPE AND AMOUNT OF INSURANCE PROVIDED.

(I) NOTIFICATION AND ELECTION REQUIREMENTS.

(1) THE COMMISSIONER SHALL ESTABLISH REQUIREMENTS THAT

GOVERN;

(I) NOTIFICATION BY THE INSURER OR NONPROFIT HEALTH
SERVICE PLAN TO THE INSURED INDIVIDUAL WHOSE COVERAGE UNDER THE
GROUP POLICY IS BEING TERMINATED OF THE RIGHT OF CONVERSION TO AN
INDIVIDUAL POLICY; AND

(II) THE TIMELY ELECTION OF THE CONVERSION PRIVILEGE.

(2) THE NOTIFICATION REQUIREMENTS SHALL INCLUDE A PROVISION
IN EACH CERTIFICATE PROVIDED TO INDIVIDUALS COVERED UNDER GROUP OR
BLANKET HEALTH INSURANCE POLICIES THAT SET FORTH THE CONDITIONS
APPLICABLE TO ELECTION OF THE CONVERSION PRIVILEGE.

(J) LIMITATION ON CONTINUATION OF GROUP COVERAGE.

EXCEPT AS OTHERWISE PROVIDED IN THIS ARTICLE, CONTINUATION OF
GROUP COVERAGE AT THE EXPENSE OF THE INSURED INDIVIDUAL MAY BE
REQUIRED FOR A PERIOD NOT EXCEEDING 6 MONTHS.

REVISOR'S NOTE: This section is new language derived without substantive
change from former Art. 48A, §§ 354T and 477K.

In subsection (a) of this section, the defined term "insured individual" is
substituted for the former defined term "insured person" because only
individuals are employees, members, or dependents.

In subsection (b)(1)(ii) of this section, the former reference to a "group
contract" is deleted because the term "group policy" is used consistently
throughout this section instead of the term "group contract".

In subsection (g)(1) of this section, the former references to an individual
"converted" policy are deleted for consistency with terminology used
throughout this section.

In subsection (h) of this section, the reference to an "individual policy issued
under this section" is substituted for the former references to a "converted
policy" for consistency with terminology used throughout this section.

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Session Laws, 1997
Volume 795, Page 1031   View pdf image
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