PARRIS N. GLENDENING, Governor

Ch. 35

IF THE PROPOSED POLICY PROVIDES COVERAGE FOR CARE IN A
MEDICARE-APPROVED SKILLED NURSING FACILITY, BUT THE POLICY DOES NOT
PROVIDE COVERAGE FOR CARE IN OTHER NURSING HOME FACILITIES OR FOR
CUSTODIAL OR REST HOME CARE, A STATEMENT SHALL BE GIVEN THAT DESCRIBES
CLEARLY THOSE EXPENSES THAT THE POLICY DOES NOT COVER.

(D) NONCOMPLIANCE WITH OTHER PROVISIONS OF SUBTITLE.

(1) IF THE PROPOSED POLICY DOES NOT COMPLY WITH THE
REQUIREMENTS OF §§ 15-904, 15-906, 15-907, AND 15-908 OF THIS SUBTITLE FOR A
MEDICARE SUPPLEMENT POLICY, A STATEMENT PRINTED IN 12-POINT TYPE SHALL
BE GIVEN THAT:

"THIS POLICY (OR CERTIFICATE) IS NOT A MEDICARE SUPPLEMENT POLICY (OR
CERTIFICATE). IT IS NOT DESIGNED TO FILL THE 'GAPS' OF MEDICARE. IF YOU
ARE ELIGIBLE FOR MEDICARE, REVIEW THE MEDICARE SUPPLEMENT BUYER'S
GUIDE AVAILABLE FROM THE COMPANY".

(2) THE STATEMENT REQUIRED BY PARAGRAPH (1) OF THIS
SUBSECTION SHALL BE PRINTED ON OR ATTACHED TO THE FIRST PAGE OF:

(I) THE POLICY FORM OR CERTIFICATE; OR

(II) AN OUTLINE OF COVERAGE DELIVERED TO THE INDIVIDUAL
COVERED UNDER THE POLICY OR CERTIFICATE.

(3) A CARRIER OR AGENT OF A CARRIER NEED NOT PROVIDE THE
STATEMENT REQUIRED UNDER PARAGRAPH (1) OF THIS SUBSECTION FOR:

(I) A POLICY OR CERTIFICATE THAT IS ISSUED IN ACCORDANCE
WITH A CONTRACT UNDER § 1876 OF THE FEDERAL SOCIAL SECURITY ACT, 42 U.S.C.
§ 1395 ET SEQ.;

(II) A DISABILITY INCOME POLICY; OR

(III) A POLICY OR CONTRACT OF ONE OR MORE EMPLOYERS OR
LABOR ORGANIZATIONS OR THE TRUSTEES OF A FUND ESTABLISHED BY ONE OR
MORE EMPLOYERS OR LABOR ORGANIZATIONS OR A COMBINATION OF EMPLOYERS
OR LABOR ORGANIZATIONS, FOR EMPLOYEES, FORMER EMPLOYEES, A
COMBINATION OF EMPLOYEES OR FORMER EMPLOYEES, MEMBERS, FORMER
MEMBERS, OR A COMBINATION OF MEMBERS OR FORMER MEMBERS OF THE LABOR
ORGANIZATION.

(4) NOTWITHSTANDING PARAGRAPH (1) OF THIS SUBSECTION, THE
COMMISSIONER SHALL ADOPT REGULATIONS NECESSARY TO CONFORM THIS
SUBSECTION TO THE REQUIREMENTS OF APPLICABLE FEDERAL LAW.

(E) ACCIDENT-ONLY BENEFITS.

IF THE PROPOSED POLICY PROVIDES ACCIDENT-ONLY BENEFITS, A
STATEMENT PRINTED IN 12-POINT TYPE SHALL BE GIVEN THAT CONTAINS THE
LANGUAGE IN SUBSECTION (D) OF THIS SECTION AND THE FOLLOWING:

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