Code of Maryland Regulations
Title 31 - MARYLAND INSURANCE ADMINISTRATION
Subtitle 12 - HEALTH MAINTENANCE ORGANIZATIONS; ENTITIES THAT ACT AS HEALTH INSURERS
Chapter 31.12.07 - Required Standard Provisions
Section 31.12.07.06 - Limitations and Exclusions
Universal Citation: MD Code Reg 31.12.07.06
Current through Register Vol. 51, No. 19, September 20, 2024
A. Crime.
(1) An individual or group contract may not include a limitation or exclusion for loss to which a contributing cause was the member's commission of or attempt to commit a crime.
(2) An individual or group contract may not include a limitation or exclusion for loss for which a contributing cause was the commission of or the attempt to commit a crime by an individual other than the member.
B. Illegal Occupation. An individual or group contract may not include a limitation or exclusion for loss to which a contributing cause was the member being engaged in an illegal occupation.
C. Intoxicants and Narcotics or Use of Intoxicants or Narcotics.
(1) An individual or group contract may not include a limitation or exclusion for loss sustained or contracted in consequence of the member being intoxicated or under the influence of any drug.
(2) An individual or group contract may not include a limitation or exclusion for loss due to:
(a) The use of alcohol;
(b) The use of drugs or narcotics; or
(c) Alcoholism or drug addiction.
D. Preexisting Conditions. An individual or group contract may not include a limitation or exclusion for a preexisting condition.
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