Md. Code Regs. 31.12.07.08

Current through Register Vol. 51, No. 22, November 1, 2024

Section 31.12.07.08 - Individual Contract Optional Provisions

A. An HMO may include in an individual contract any of the optional provisions described in Regulation .07C and D of this chapter and §C of this regulation.

B. An HMO may not include in an individual contract an optional provision dealing with the same subjects set forth in Regulation .07C and D of this chapter and §C of this regulation if the provision is drafted in a manner that is less favorable to the subscriber or member than the corresponding optional provision set forth in Regulation .07C and D of this chapter and §C of this regulation.

C. Unpaid Premiums. An individual contract may contain the following provision: "Unpaid premiums: Upon the payment of a claim under this contract, any premium then due and unpaid or covered by any note or written order may be deducted from the claim payment."

Md. Code Regs. 31.12.07.08