Subtitle 10 - HEALTH INSURANCE-GENERAL
- Chapter 31.10.01 - Health Insurance (§ 31.10.01.01 to 31.10.01.03)
- Chapter 31.10.02 - Health Insurance-Simplified Language (§ 31.10.02.01 to 31.10.02.05)
- Chapter 31.10.03 - Health Insurance-Stop-Loss Coverage - Repealed
- Chapter 31.10.04 - Health Insurance-Plan of Withdrawal (§ 31.10.04.01 to 31.10.04.03)
- Chapter 31.10.05 - Minimum Standards for Medicare Supplement Policies (§ 31.10.05.01 to 31.10.05.11)
- Chapter 31.10.06 - Standards for Medicare Supplement Policies (§ 31.10.06.01 to 31.10.06.31)
- Chapter 31.10.07 - Limited Benefits Policies-Reporting Requirements - Repealed
- Chapter 31.10.08 - Limited Benefits Policies-Minimum Loss Ratio - Repealed
- Chapter 31.10.09 - Hospice Care Benefits (§ 31.10.09.01 to 31.10.09.05)
- Chapter 31.10.10 - Summary Explanation of Benefits (§ 31.10.10.01 to 31.10.10.05)
- Chapter 31.10.11 - Uniform Claims Forms (§ 31.10.11.01 to 31.10.11.14)
- Chapter 31.10.12 - Uniform Consultation Referral (§ 31.10.12.01 to 31.10.12.08)
- Chapter 31.10.13 - Return of Premium, Cash Surrender, or Other Nonforfeiture Benefits in Health Insurance Policies (§ 31.10.13.01 to 31.10.13.14)
- Chapter 31.10.14 - Minimum Loss Ratio with Respect to Specified Disease Policies (§ 31.10.14.01 to 31.10.14.07)
- Chapter 31.10.15 - Substantial, Available, and Affordable Coverage Plan - Repealed
- Chapter 31.10.16 - Carrier Provider Panels - Application Process (§ 31.10.16.01 to 31.10.16.05)
- Chapter 31.10.17 - Health Care Consumer Information and Education Act (§ 31.10.17.01 to 31.10.17.07)
- Chapter 31.10.18 - Denials of Coverage Based on Medical Necessity (§ 31.10.18.01 to 31.10.18.12)
- Chapter 31.10.19 - Independent Review Organizations and Medical Experts (§ 31.10.19.01 to 31.10.19.07)
- Chapter 31.10.20 - Certification of HMO Medical Directors; (§ 31.10.20.01 to 31.10.20.07)
- Chapter 31.10.21 - Private Review Agents (§ 31.10.21.01 to 31.10.21.11)
- Chapter 31.10.22 - Provider - Sponsored Organizations (§ 31.10.22.01 to 31.10.22.15)
- Chapter 31.10.23 - Penalties for Failure to Make Prompt Payment of Claims (§ 31.10.23.01)
- Chapter 31.10.24 - Discount Medical Plan Organizations and Discount Drug Plan Organizations (§ 31.10.24.01 to 31.10.24.04)
- Chapter 31.10.25 - Required Standard Provisions for Individual Nonprofit Health Service Plan Contracts; (§ 31.10.25.01 to 31.10.25.06)
- Chapter 31.10.26 - Uniform Credentialing Form (§ 31.10.26.01 to 31.10.26.05)
- Chapter 31.10.27 - Health Insurance-Notice of the Maryland Health Insurance Plan (§ 31.10.27.01 to 31.10.27.03)
- Chapter 31.10.28 - Individual Health Insurance Contracts - Standard Provisions and Exclusions; (§ 31.10.28.01 to 31.10.28.05)
- Chapter 31.10.29 - Complaint Process for Coverage Decisions (§ 31.10.29.01 to 31.10.29.03)
- Chapter 31.10.30 - Disability Benefit Claims Procedures (§ 31.10.30.01 to 31.10.30.05)
- Chapter 31.10.31 - Behavioral Health Care Expense Form (§ 31.10.31.01 to 31.10.31.04)
- Chapter 31.10.32 - Nonprofit Health Service Plans-Material Modification (§ 31.10.32.01 to 31.10.32.06)
- Chapter 31.10.33 - Utilization Review of Surgical Treatment of Morbid Obesity (§ 31.10.33.01 to 31.10.33.04)
- Chapter 31.10.34 - Carrier Provider Panels (§ 31.10.34.01 to 31.10.34.06)
- Chapter 31.10.35 - Domestic Partner Coverage (§ 31.10.35.01 to 31.10.35.03)
- Chapter 31.10.36 - Pharmacy Benefit Managers-Approval of an Accrediting Organization (§ 31.10.36.01 to 31.10.36.03)
- Chapter 31.10.37 - Delivery of Policy or Certificate (§ 31.10.37.01 to 31.10.37.05)
- Chapter 31.10.38 - Wellness Program Incentives (§ 31.10.38.01 to 31.10.38.05)
- Chapter 31.10.39 - Utilization Review of Treatment for Autism and Autism Spectrum Disorders (§ 31.10.39.01 to 31.10.39.04)
- Chapter 31.10.40 - Child Only Policies - Repealed (§ 31.10.40.01 to 31.10.40.08)
- Chapter 31.10.41 - Assignment of Benefits to Nonpreferred Providers (§ 31.10.41.01 to 31.10.41.07)
- Chapter 31.10.42 - Continuity of Health Care Notice (§ 31.10.42.01 to 31.10.42.04)
- Chapter 31.10.43 - Medical Stop-Loss Insurance Disclosure (§ 31.10.43.01 to 31.10.43.04)
- Chapter 31.10.44 - Network Adequacy (§ 31.10.44.01 to 31.10.44.11)
- Chapter 31.10.45 - Dental Network Adequacy (§ 31.10.45.01 to 31.10.45.06)
- Chapter 31.10.46 - Pharmacy Benefits Managers-Maximum Allowable Cost; (§ 31.10.46.01 to 31.10.46.05)
- Chapter 31.10.47 - Cost Pricing and Reimbursement Other than MAC (§ 31.10.47.01 to 31.10.47.05)
- Chapter 31.10.48 - Pharmacy Benefits Managers-Informational Filing of Contracts and Amendments (§ 31.10.48.01 to 31.10.48.05)
- Chapter 31.10.49 - Pharmacy Services Administrative Organizations (§ 31.10.49.01 to 31.10.49.05)
- Chapter 31.10.50 - Filing of PSAO Contracts and Amendments (§ 31.10.50.01 to 31.10.50.05)
- Chapter 31.10.51 - Mental Health Benefits and Substance Use Disorder Benefits - Reports on Nonquantitative Treatment Limitations and Data (§ 31.10.51.01 to 31.10.51.08)
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
- Chapter 31.10.01 - Health Insurance (§ 31.10.01.01 to 31.10.01.03)
- Chapter 31.10.02 - Health Insurance-Simplified Language (§ 31.10.02.01 to 31.10.02.05)
- Chapter 31.10.03 - Health Insurance-Stop-Loss Coverage - Repealed
- Chapter 31.10.04 - Health Insurance-Plan of Withdrawal (§ 31.10.04.01 to 31.10.04.03)
- Chapter 31.10.05 - Minimum Standards for Medicare Supplement Policies (§ 31.10.05.01 to 31.10.05.11)
- Chapter 31.10.06 - Standards for Medicare Supplement Policies (§ 31.10.06.01 to 31.10.06.31)
- Chapter 31.10.07 - Limited Benefits Policies-Reporting Requirements - Repealed
- Chapter 31.10.08 - Limited Benefits Policies-Minimum Loss Ratio - Repealed
- Chapter 31.10.09 - Hospice Care Benefits (§ 31.10.09.01 to 31.10.09.05)
- Chapter 31.10.10 - Summary Explanation of Benefits (§ 31.10.10.01 to 31.10.10.05)
- Chapter 31.10.11 - Uniform Claims Forms (§ 31.10.11.01 to 31.10.11.14)
- Chapter 31.10.12 - Uniform Consultation Referral (§ 31.10.12.01 to 31.10.12.08)
- Chapter 31.10.13 - Return of Premium, Cash Surrender, or Other Nonforfeiture Benefits in Health Insurance Policies (§ 31.10.13.01 to 31.10.13.14)
- Chapter 31.10.14 - Minimum Loss Ratio with Respect to Specified Disease Policies (§ 31.10.14.01 to 31.10.14.07)
- Chapter 31.10.15 - Substantial, Available, and Affordable Coverage Plan - Repealed
- Chapter 31.10.16 - Carrier Provider Panels - Application Process (§ 31.10.16.01 to 31.10.16.05)
- Chapter 31.10.17 - Health Care Consumer Information and Education Act (§ 31.10.17.01 to 31.10.17.07)
- Chapter 31.10.18 - Denials of Coverage Based on Medical Necessity (§ 31.10.18.01 to 31.10.18.12)
- Chapter 31.10.19 - Independent Review Organizations and Medical Experts (§ 31.10.19.01 to 31.10.19.07)
- Chapter 31.10.20 - Certification of HMO Medical Directors; (§ 31.10.20.01 to 31.10.20.07)
- Chapter 31.10.21 - Private Review Agents (§ 31.10.21.01 to 31.10.21.11)
- Chapter 31.10.22 - Provider - Sponsored Organizations (§ 31.10.22.01 to 31.10.22.15)
- Chapter 31.10.23 - Penalties for Failure to Make Prompt Payment of Claims (§ 31.10.23.01)
- Chapter 31.10.24 - Discount Medical Plan Organizations and Discount Drug Plan Organizations (§ 31.10.24.01 to 31.10.24.04)
- Chapter 31.10.25 - Required Standard Provisions for Individual Nonprofit Health Service Plan Contracts; (§ 31.10.25.01 to 31.10.25.06)
- Chapter 31.10.26 - Uniform Credentialing Form (§ 31.10.26.01 to 31.10.26.05)
- Chapter 31.10.27 - Health Insurance-Notice of the Maryland Health Insurance Plan (§ 31.10.27.01 to 31.10.27.03)
- Chapter 31.10.28 - Individual Health Insurance Contracts - Standard Provisions and Exclusions; (§ 31.10.28.01 to 31.10.28.05)
- Chapter 31.10.29 - Complaint Process for Coverage Decisions (§ 31.10.29.01 to 31.10.29.03)
- Chapter 31.10.30 - Disability Benefit Claims Procedures (§ 31.10.30.01 to 31.10.30.05)
- Chapter 31.10.31 - Behavioral Health Care Expense Form (§ 31.10.31.01 to 31.10.31.04)
- Chapter 31.10.32 - Nonprofit Health Service Plans-Material Modification (§ 31.10.32.01 to 31.10.32.06)
- Chapter 31.10.33 - Utilization Review of Surgical Treatment of Morbid Obesity (§ 31.10.33.01 to 31.10.33.04)
- Chapter 31.10.34 - Carrier Provider Panels (§ 31.10.34.01 to 31.10.34.06)
- Chapter 31.10.35 - Domestic Partner Coverage (§ 31.10.35.01 to 31.10.35.03)
- Chapter 31.10.36 - Pharmacy Benefit Managers-Approval of an Accrediting Organization (§ 31.10.36.01 to 31.10.36.03)
- Chapter 31.10.37 - Delivery of Policy or Certificate (§ 31.10.37.01 to 31.10.37.05)
- Chapter 31.10.38 - Wellness Program Incentives (§ 31.10.38.01 to 31.10.38.05)
- Chapter 31.10.39 - Utilization Review of Treatment for Autism and Autism Spectrum Disorders (§ 31.10.39.01 to 31.10.39.04)
- Chapter 31.10.40 - Child Only Policies - Repealed (§ 31.10.40.01 to 31.10.40.08)
- Chapter 31.10.41 - Assignment of Benefits to Nonpreferred Providers (§ 31.10.41.01 to 31.10.41.07)
- Chapter 31.10.42 - Continuity of Health Care Notice (§ 31.10.42.01 to 31.10.42.04)
- Chapter 31.10.43 - Medical Stop-Loss Insurance Disclosure (§ 31.10.43.01 to 31.10.43.04)
- Chapter 31.10.44 - Network Adequacy (§ 31.10.44.01 to 31.10.44.11)
- Chapter 31.10.45 - Dental Network Adequacy (§ 31.10.45.01 to 31.10.45.06)
- Chapter 31.10.46 - Pharmacy Benefits Managers-Maximum Allowable Cost; (§ 31.10.46.01 to 31.10.46.05)
- Chapter 31.10.47 - Cost Pricing and Reimbursement Other than MAC (§ 31.10.47.01 to 31.10.47.05)
- Chapter 31.10.48 - Pharmacy Benefits Managers-Informational Filing of Contracts and Amendments (§ 31.10.48.01 to 31.10.48.05)
- Chapter 31.10.49 - Pharmacy Services Administrative Organizations (§ 31.10.49.01 to 31.10.49.05)
- Chapter 31.10.50 - Filing of PSAO Contracts and Amendments (§ 31.10.50.01 to 31.10.50.05)
- Chapter 31.10.51 - Mental Health Benefits and Substance Use Disorder Benefits - Reports on Nonquantitative Treatment Limitations and Data (§ 31.10.51.01 to 31.10.51.08)