Md. Code Regs. 31.04.17.13

Current through Register Vol. 51, No. 26, December 27, 2024

Section 31.04.17.13 - Prohibited Coverage

A. Health Insurance Coverage Prohibited in Individual Life Insurance Policies. An ordinary or industrial life insurance policy may not include a health insurance benefit, except for the following types of benefits:

(1) Long-term care coverage;

(2) Accidental death and dismemberment coverage;

(3) Waiver of premium for permanent disability coverage;

(4) Acceleration of death benefit for terminal illness or chronic condition;

(5) Benefits for a second opinion for health conditions specified in the policy; or

(6) Benefits that:

(a) Provide a lump-sum benefit for a disease specified in the policy; and

(b) Meet the requirements established by the Commissioner under Insurance Article, § 15-109, Annotated Code of Maryland.

B. Natural Death Benefit Prohibited in Individual Health Insurance Policies.

(1) Except as provided in §B(2) of this regulation, a health insurance policy subject to Insurance Article, Title 15, Subtitle 2, Annotated Code of Maryland, or any supplementary benefit under such a policy, may not provide a natural death benefit.

(2) A disability income policy may provide a survivor benefit, provided the survivor benefit does not exceed 3 times the last full monthly disability income benefit.

Md. Code Regs. 31.04.17.13

Regulation .13A amended effective October 3, 2011 (38:20 Md. R. 1205)