PARRIS N. GLENDENING, Governor

Ch. 35

Defined terms: "Applicant" § 18-101
"Carrier" § 18-101

"Long-term care insurance" § 18-101
"Policy" § 1-101

18-106. OUTLINE OF COVERAGE AND BUYER'S GUIDE.

(A) REQUIRED.

(1) A CARRIER SHALL PROVIDE TO EACH APPLICANT AN OUTLINE OF
COVERAGE AND BUYER'S GUIDE.

(2) THE CARRIER SHALL DELIVER THE OUTLINE OF COVERAGE AND
BUYER'S GUIDE:

(I) IN THE CASE OF SOLICITATION BY THE CARRIER OR AGENT OF
THE CARRIER, BEFORE THE PRESENTATION OF AN APPLICATION OR ENROLLMENT
FORM; AND

(II) IN THE CASE OF DIRECT RESPONSE SOLICITATION, WITH THE
APPLICATION OR ENROLLMENT FORM.

(B) CONTENTS OF OUTLINE OF COVERAGE.
THE OUTLINE OF COVERAGE SHALL INCLUDE:

(1) A DESCRIPTION OF THE PRINCIPAL BENEFITS AND COVERAGE
PROVIDED IN THE POLICY OR CONTRACT;

(2) A STATEMENT OF THE PRINCIPAL EXCLUSIONS, REDUCTIONS, AND
LIMITATIONS IN THE POLICY OR CONTRACT;

(3) A STATEMENT OF THE RENEWAL PROVISIONS, INCLUDING ANY
RESERVATION IN THE POLICY OR CONTRACT OF A RIGHT TO CHANGE THE
SCHEDULE OF PREMIUMS;

(4) A STATEMENT AS TO WHETHER THE POLICY OR CONTRACT IS
APPROVED UNDER THE MARYLAND PARTNERSHIP FOR LONG-TERM CARE
PROGRAM UNDER TITLE 15, SUBTITLE 4 OF THE HEALTH - GENERAL ARTICLE;

(5) A STATEMENT THAT THE OUTLINE OF COVERAGE IS A SUMMARY OF
THE POLICY OR CONTRACT ISSUED OR APPLIED FOR AND THE POLICY OR
CONTRACT SHOULD BE CONSULTED TO DETERMINE THE GOVERNING
CONTRACTUAL PROVISIONS; AND

(6) ANY EXPECTED PREMIUM INCREASES OR ADDITIONAL PREMIUMS
TO PAY FOR AUTOMATIC OR OPTIONAL BENEFIT INCREASES, INCLUDING A
REASONABLE HYPOTHETICAL OR GRAPHIC DEMONSTRATION OF THE POTENTIAL
PREMIUMS THAT THE APPLICANT WILL NEED TO PAY AT AGE 75 FOR BENEFIT

INCREASES.

(C) INFORMATION IN BUYER'S GUIDE.

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