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2007 Laws of Maryland
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Ch. 629
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(B) THIS SECTION DOES NOT LIMIT ANY REGULATORY POWER OF THE
COMMISSIONER UNDER TITLE 2 OF THIS ARTICLE.
14-606.
(A) A DISCOUNT MEDICAL PLAN ORGANIZATION AND A DISCOUNT DRUG
PLAN ORGANIZATION MAY NOT:
(1) USE IN THEIR ADVERTISEMENTS, MARKETING MATERIAL,
BROCHURES, AND DISCOUNT CARDS THE TERM "INSURANCE" EXCEPT:
(I) IN THE NAME OF AN INSURER, NONPROFIT HEALTH
SERVICE PLAN, HEALTH MAINTENANCE ORGANIZATION, OR DENTAL PLAN
ORGANIZATION WHOSE CORPORATE NAME INCLUDES THE WORD "INSURANCE";
(II) WHEN COMPARING THE DISCOUNT MEDICAL PLAN OR
DISCOUNT DRUG PLAN TO INSURANCE OR OTHERWISE DISTINGUISHING THE
DISCOUNT MEDICAL PLAN OR DISCOUNT DRUG PLAN FROM INSURANCE; OR
(III) AS OTHERWISE PROVIDED IN THIS SUBTITLE.
(2) USE IN THEIR ADVERTISEMENTS, MARKETING MATERIAL,
BROCHURES, AND DISCOUNT CARDS THE TERMS "HEALTH PLAN", "COVERAGE",
"COPAY", "COPAYMENTS", "PREEXISTING CONDITIONS", "GUARANTEED ISSUE",
"PREMIUM", "PPO", "PREFERRED PROVIDER ORGANIZATION", OR OTHER
TERMS IN A CONTEXT THAT COULD REASONABLY MISLEAD A PERSON INTO
BELIEVING THE DISCOUNT MEDICAL PLAN OR DISCOUNT DRUG PLAN WAS
HEALTH INSURANCE;
(3) HAVE RESTRICTIONS ON ACCESS TO DISCOUNT MEDICAL PLAN
OR DISCOUNT DRUG PLAN PROVIDERS, INCLUDING WAITING PERIODS AND
NOTIFICATION PERIODS;
(4) PAY PROVIDERS ANY FEES FOR MEDICAL SERVICES,
PHARMACEUTICAL SUPPLIES, PRESCRIPTION DRUGS, OR MEDICAL EQUIPMENT
AND SUPPLIES, EXCEPT THAT A DISCOUNT MEDICAL PLAN ORGANIZATION OR A
DISCOUNT DRUG PLAN ORGANIZATION THAT ALSO HAS AN ACTIVE
REGISTRATION UNDER TITLE 8, SUBTITLE 3 OF THIS ARTICLE MAY CONTINUE
TO PAY FEES TO PROVIDERS IN ITS CAPACITY AS A THIRD PARTY
ADMINISTRATOR;
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(5) REFUSE TO MODIFY THE METHOD OF PAYMENT FOR
MEMBERSHIP IN A DISCOUNT MEDICAL PLAN OR A DISCOUNT DRUG PLAN ON
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- 3990 -
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