Md. Code Regs. 31.11.13.03

Current through Register Vol. 52, No. 1, January 10, 2025

Section 31.11.13.03 - Required Notice - Limited Benefit Plan

A. When a carrier offers the Limited Benefit Plan to a small employer qualified under Insurance Article, § 15-1209, Annotated Code of Maryland, and the small employer chooses the Limited Benefit Plan, the carrier shall obtain a signed disclosure statement certifying that:

(1) The small employer was offered the Limited Benefit Plan; and

(2) The small employer received notice that more comprehensive coverage is available under the Comprehensive Standard Health Benefit Plan.

B. The disclosure statement required in §A of this regulation shall be in at least 12-point type and shall read as follows:

MARYLAND HEALTH INSURANCE REFORM ACT LIMITED HEALTH BENEFIT PLAN DISCLOSURE STATEMENT

Limited Health Benefit Plan Disclosure

Under Maryland law, a carrier may offer a small employer the Limited Health Benefit Plan. Certain benefits of the Limited Health Benefit Plan are limited to discounts only while other benefits are subject to reduced yearly amounts payable. More comprehensive coverage is available to a small employer under the Comprehensive Standard Health Benefit Plan ("Standard Plan").

Employer Statement

I HAVE READ AND UNDERSTAND THE LIMITED HEALTH BENEFIT PLAN DISCLOSURE. I ACKNOWLEDGE THAT I HAVE RECEIVED A DESCRIPTION OF THE LIMITED HEALTH BENEFIT PLAN AND THAT I UNDERSTAND MORE COMPREHENSIVE COVERAGE IS AVAILABLE UNDER THE COMPREHENSIVE STANDARD HEALTH BENEFIT PLAN.

___________________________ Carrier Name	_____________________________ Employer Name
___________________________ Producer Name	_____________________________ Employer Representative Name
___________________________ Producer Signature	_____________________________ Employer Representative Signature
___________________________ Date	_____________________________ Title

C. The carrier shall maintain the signed disclosure statement for not less than 5 years.

Md. Code Regs. 31.11.13.03

Regulations .03 adopted as an emergency provision effective July 1, 2005 (32:15 Md. R. 1315); emergency status extended at 33:4 Md. R. 350; adopted permanently effective January 16, 2006 (33:1 Md. R. 40)