Code of Maryland Regulations
Title 31 - MARYLAND INSURANCE ADMINISTRATION
Subtitle 11 - HEALTH INSURANCE - GROUP
Chapter 31.11.13 - Limited Benefit Plan-Disclosure Statement
Section 31.11.13.03 - Required Notice - Limited Benefit Plan
Current through Register Vol. 51, No. 19, September 20, 2024
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:
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.
