Ch. 35

1997 LAWS OF MARYLAND

(2) HEARINGS AND APPEALS FROM ORDERS OF THE COMMISSIONER
ARE GOVERNED BY §§ 2-203 AND 2-210 THROUGH 2-215 OF THIS ARTICLE.

REVISOR'S NOTE: This section is new language derived without substantive
change from former Art. 48A, § 593.

As to the deletion of the former reference to "rules" adopted under this
subtitle in subsection (a)(7) of this section, see the General Revisor's Note to
this article.

In subsection (b) of this section, the reference to notifying the dental plan
organization "of the suspension or revocation" is added for clarity.

Defined terms: "Certificate of authority" § 1-101
"Commissioner" § 1-101
"Dental plan" § 14-401
"Dental plan organization" § 14-401
"Dental service" § 14-401
"Enrollee" § 14-401
"Evidence of coverage" § 14-401
"Person" § 1-101

14-410. EVIDENCE OF COVERAGE.

(A) IN GENERAL.

EACH ENROLLEE SHALL RECEIVE EVIDENCE OF COVERAGE THAT INDICATES
SPECIFICALLY THE NATURE AND EXTENT OF COVERAGE AND THE TOTAL AMOUNT
OR PERCENTAGE OF PAYMENT, IF ANY, THAT THE ENROLLEE MUST PAY FOR
DENTAL SERVICES.

(B) ISSUANCE TO ENROLLEE.

(1) EXCEPT AS PROVIDED UNDER PARAGRAPH (2) OF THIS SUBSECTION,
A DENTAL PLAN ORGANIZATION SHALL ISSUE EVIDENCE OF COVERAGE TO EACH
ENROLLEE OF THE DENTAL PLAN ORGANIZATION.

(2) IF AN INDIVIDUAL ENROLLEE OBTAINS COVERAGE THROUGH A
POLICY OR THROUGH A CONTRACT ISSUED BY A MEDICAL OR DENTAL SERVICE
CORPORATION, THE INSURER THAT ISSUED THE POLICY OR THE MEDICAL OR
DENTAL SERVICE CORPORATION SHALL ISSUE EVIDENCE OF COVERAGE.

(C) FILING AND APPROVAL BY COMMISSIONER.

THE DENTAL PLAN ORGANIZATION, INSURER, OR MEDICAL OR DENTAL
SERVICE CORPORATION MAY NOT ISSUE OR DELIVER EVIDENCE OF COVERAGE OR
AN AMENDMENT TO EVIDENCE OF COVERAGE UNTIL A COPY OF THE FORM OF
EVIDENCE OF COVERAGE OR AMENDMENT IS FILED WITH AND APPROVED BY THE
COMMISSIONER.

(D) CONTENTS.

THE EVIDENCE OF COVERAGE SHALL CONTAIN:

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