COMAR 31.10.30 - Disability Benefit Claim Procedures

STATE OF MARYLAND MARYLAND INSURANCE ADMINISTRATION 525 ST. PAUL PLACE, BALTIMORE, MARYLAND 21202-2272 WRITER’S DIRECT DIAL: 410-468-2205 Facsimile Number: 410-468-2204 e-mail: hmax@mdinsurance.state.md.us BULLETIN 04-16 To: Insurers Participating in the Disability Market in Maryland Re: COMAR 31.10.30, Disability Benefit Claim Procedures Date: August 9, 2004 On July 23, 2004, a Notice of Final Action on COMAR 31.10.30 was published in the Maryland Register. These regulations will take effect on August 2, 2004. A copy of the regulations is attached. The regulations require certain procedures and notices in the handling of disability benefit claims and appeals. The regulations apply to insurers that issue or deliver individual or group health insurance policies in Maryland that provide a disability benefit. The regulations do not apply to long term care insurance policies, dismemberment benefits, life insurance policies, or waiver of premium riders. It is not necessary that new policy or certificate forms be filed to comply with the regulations; however, if you elect to change your forms, the changes must be filed for approval prior to use. If you have questions, please contact Mary Moody, Staff Attorney, at 410-468-2224. ________________________________ Howard Max Acting Associate Commissioner ROBERT L. EHRLICH, JR GOVERNOR MICHAEL S. STEELE LIEUTENANT GOVERNOR ALFRED W. REDMER, JR. COMMISSIONER JAMES V. MCMAHAN, III DEPUTY COMMISSIONER