Md. Code Regs. tit. 31, subt. 10 – Health Insurance — General | Midpage

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Code of Maryland Regulations

§ 10

Md. Code Regs. tit. 31, subt. 10

Health Insurance — General

01Health Insurance 02Health Insurance — Simplified Language 03Health Insurance — Stop-Loss Coverage 04Health Insurance — Plan of Withdrawal 05Minimum Standards for Medicare Supplement Policies 06Standards for Medicare Supplement Policies 07Limited Benefits Policies — Reporting Requirements 08Limited Benefits Policies — Minimum Loss Ratio 09Hospice Care Benefits 10Summary Explanation of Benefits 11Uniform Claims Forms 12Uniform Consultation Referral 13Return of Premium, Cash Surrender, or Other Nonforfeiture Benefits in Health Insurance Policies 14Minimum Loss Ratio with Respect to Specified Disease Policies 15Substantial, Available, and Affordable Coverage Plan 16Carrier Provider Panels — Application Process 17Health Care Consumer Information and Education Act 18Denials of Coverage Based on Medical Necessity 19Independent Review Organizations and Medical Experts 20Certification of HMO Medical Directors 21Private Review Agents 22Provider-Sponsored Organizations 23Penalties for Failure to Make Prompt Payment of Claims 24Discount Medical Plan Organizations and Discount Drug Plan Organizations 25Required Standard Provisions for Individual Nonprofit Health Service Plan Contracts 26Uniform Credentialing Form 27Health Insurance — Notice of the Maryland Health Insurance Plan 28Individual Health Insurance Contracts — Standard Provisions and Exclusions 29Complaint Process for Coverage Decisions 30Disability Benefit Claims Procedures 31Behavioral Health Care Expense Form 32Nonprofit Health Service Plans — Material Modification 33Utilization Review of Surgical Treatment of Morbid Obesity 34Carrier Provider Panels 35Domestic Partner Coverage 36Pharmacy Benefit Managers — Approval of an Accrediting Organization 37Delivery of Policy or Certificate 38Wellness Program Incentives 39Utilization Review of Treatment for Autism and Autism Spectrum Disorders 40Child Only Policies 41Assignment of Benefits to Nonpreferred Providers 42Continuity of Health Care Notice 43Medical Stop-Loss Insurance Disclosure 44Network Adequacy 45Dental Network Adequacy 46Pharmacy Benefits Managers — Maximum Allowable Cost 47Cost Pricing and Reimbursement Other than MAC 48Pharmacy Benefits Managers — Informational Filing of Contracts and Amendments 49Pharmacy Services Administrative Organizations 50Filing of PSAO Contracts and Amendments 51Mental Health Benefits and Substance Use Disorder Benefits — Reports on Nonquantitative Treatment Limitations and Data