PARRIS N. GLENDENING, Governor

Ch. 35

15-212. CLAIM FORMS.

EACH POLICY OF HEALTH INSURANCE SHALL CONTAIN THE FOLLOWING
PROVISION:

"CLAIM FORMS: THE INSURER, UPON RECEIPT OF A NOTICE OF CLAIM, WILL
FURNISH TO THE CLAIMANT SUCH FORMS AS ARE USUALLY FURNISHED BY IT FOR
FILING PROOFS OF LOSS, IF SUCH FORMS ARE NOT FURNISHED WITHIN FIFTEEN
DAYS AFTER THE GIVING OF SUCH NOTICE THE CLAIMANT SHALL BE DEEMED TO
HAVE COMPLIED WITH THE REQUIREMENTS OF THIS POLICY AS TO PROOF OF LOSS
UPON SUBMITTING, WITHIN THE TIME FIXED IN THE POLICY FOR FILING PROOFS OF
LOSS, WRITTEN PROOF COVERING THE OCCURRENCE, THE CHARACTER AND THE
EXTENT OF THE LOSS FOR WHICH CLAIM IS MADE."

REVISOR'S NOTE: This section formerly was Art. 48A, § 445.

The quoted language of this section is the same as the quoted language of
former Art. 48A, § 445.

The only changes are in style.

Defined terms: "Health insurance" § 1-101
"Insurer" § 1-101
"Policy" § 1-101

15-213. PROOFS OF LOSS.

EACH POLICY OF HEALTH INSURANCE SHALL CONTAIN THE FOLLOWING
PROVISION:

"PROOFS OF LOSS: WRITTEN PROOF OF LOSS MUST BE FURNISHED TO THE
INSURER AT ITS SAID OFFICE IN CASE OF CLAIM FOR LOSS FOR WHICH THIS POLICY
PROVIDES ANY PERIODIC PAYMENT CONTINGENT UPON CONTINUING LOSS WITHIN
NINETY (90) DAYS AFTER THE TERMINATION OF THE PERIOD FOR WHICH THE
INSURER IS LIABLE AND IN CASE OF CLAIM FOR ANY OTHER LOSS WITHIN NINETY
(90) DAYS AFTER THE DATE OF SUCH LOSS. FAILURE TO FURNISH SUCH PROOF
WITHIN THE TIME REQUIRED SHALL NOT INVALIDATE NOR REDUCE ANY CLAIM IF
IT WAS NOT REASONABLY POSSIBLE TO GIVE PROOF WITHIN SUCH TIME, PROVIDED
SUCH PROOF IS FURNISHED AS SOON AS REASONABLY POSSIBLE AND IN NO EVENT,
EXCEPT IN THE ABSENCE OF LEGAL CAPACITY, LATER THAN ONE (1) YEAR FROM
THE TIME PROOF IS OTHERWISE REQUIRED."

REVISOR'S NOTE: This section formerly was Art. 48A, § 446.

The quoted language of this section is the same as the quoted language of
former Art. 48A, § 446.

The only changes are in style.

Defined terms: "Health insurance" § 1-101
"Insurer" § 1-101
"Policy" § 1-101

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