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RegulationCOMAR 31.11.06

Chapter 06 Comprehensive Standard Health Benefit Plan

Maryland · Insurance Administration
First seen July 20, 2026 · last checked July 21, 2026
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v1fetched Jul 20, 202678fae7daf03f
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Chapter 06 Comprehensive Standard Health Benefit Plan | Library of Maryland Regulations
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Library of Maryland Regulations
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Code of Maryland Regulations
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Title 31 MARYLAND INSURANCE ADMINISTRATION
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Subtitle 11 HEALTH INSURANCE — GROUP
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Chapter 06 Comprehensive Standard Health Benefit Plan
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Code of Maryland Regulations
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Chapter 06 Comprehensive Standard Health Benefit Plan
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.01 Scope.
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.02 Definitions.
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.03 Covered Services.
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.03-1 Covered Services — Preventive Care Services.
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.04 Uniform Cost-Sharing Arrangements — In General.
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.05 Uniform Cost-Sharing Arrangements — Specific Services.
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.06 Limitations and Exclusions.
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.07 Additional Benefits.
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.08 Mandatory Point-of-Service Option or Out-of-Network Option.
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.09 Mandated Benefits.
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.10 Rates.
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.11 Pre-existing Conditions.
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.12 Review.
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Administrative History Effective date: April 25, 1994 (21:8 Md. R. 672) Regulation .02B amended as an emergency provision effective July 1, 1994 (21:13 Md. R. 1151); amended permanently effective November 7, 1994 (21:22 Md. R. 1876) —————— Chapter revised effective February 12, 1996 (23:3 Md. R. 167) Regulation .01 amended effective May 18, 1998 (25:10 Md. R. 746) Regulation .02B amended as an emergency provision effective February 2, 1996 (23:4 Md. R. 270); emergency status expired August 2, 1996; amended permanently effective October 21, 1996 (23:21 Md. R. 1467) Regulation .02B amended as an emergency provision effective April 1, 1997 (24:9 Md. R. 653); emergency status extended at 24:21 Md. R. 1444; amended permanently effective September 22, 1997 (24:19 Md. R. 1340) Regulation .02B amended effective May 18, 1998 (25:10 Md. R. 746) Regulation .03A amended and H, I adopted as an emergency provision effective April 1, 1997 (24:9 Md. R. 653); emergency status extended at 24:21 Md. R. 1444; amended permanently effective September 22, 1997 (24:19 Md. R. 1340) Regulation .03A , D amended effective May 18, 1998 (25:10 Md. R. 746) Regulation .04F amended effective May 18, 1998 (25:10 Md. R. 746) Regulation .05 amended effective May 18, 1998 (25:10 Md. R. 746) Regulation .05H amended as an emergency provision effective October 1, 1997 (24:21 Md. R. 1444); amended permanently effective January 12, 1998 (25:1 Md. R. 15) Regulation .05I amended as an emergency provision effective June 1, 1996 (23:13 Md. R. 937); emergency status extended at 23:18 Md. R. 1313; emergency status expired January 16, 1997 Regulation .05I amended effective March 10, 1997 (24:5 Md. R. 407) Regulation .08 amended as an emergency provision effective September 30, 1996 (23:21 Md. R. 1464); amended permanently effective March 10, 1997 (24:5 Md. R. 407) Regulation .08A amended as an emergency provision effective April 25, 1996 (23:10 Md. R. 729); emergency status extended at 23:18 Md. R. 1314; emergency status expired January 16, 1997 Regulation .09A amended as an emergency provision effective June 1, 1996 (23:13 Md. R. 937); emergency status extended at 23:18 Md. R. 1313; emergency status expired January 16, 1997 Regulation .09A amended effective March 10, 1997 (24:5 Md. R. 407) Regulation .09A amended as an emergency provision effective October 1, 1997 (24:21 Md. R. 1441); amended permanently effective January 12, 1998 (25:1 Md. R. 15) Regulation .09A amended as an emergency provision effective December 31, 1997 (25:2 Md. R. 73); amended permanently effective April 6, 1998 (25:7 Md. R. 527) Regulation .09A amended effective May 18, 1998 (25:10 Md. R. 746) Regulation .12 amended effective May 18, 1998 (25:10 Md. R. 746) —————— Chapter recodified from COMAR 09.31.05 to COMAR 31.11.06 effective September 7, 1998 (25:18 Md. R. 1439) Regulation .01 amended effective April 10, 2006 (33:7 Md. R. 675) Regulation .01C amended effective April 9, 2007 (34:7 Md. R. 700); March 24, 2008 (35:6 Md. R. 702) Regulation .02B amended effective February 7, 2000 (27:2 Md. R. 148); February 5, 2001 (28:2 Md. R. 106); March 18, 2002 (29:5 Md. R. 506); April 14, 2003 (30:7 Md. R. 489) Regulation .02B amended as an emergency provision effective May 21, 2004 (31:12 Md. R. 909); amended permanently effective August 16, 2004 (31:16 Md. R. 1257) Regulation .02B amended effective February 28, 2005 (32:4 Md. R. 412); April 10, 2006 (33:7 Md. R. 676); March 24, 2008 (35:6 Md. R. 702); April 20, 2009 (36:8 Md. R. 598) Regulation .02B amended as an emergency provision effective September 23, 2010 (37:23 Md. R. 1608); amended permanently effective January 13, 2011 (38:1 Md. R. 13) Regulations .03 — .08 amended effective May 3, 1999 (26:9 Md. R. 731) Regulation .03 amended effective April 10, 2006 (33:7 Md. R. 676) Regulation .03A amended as an emergency provision effective October 1, 1999 (26:22 Md. R. 1689); emergency status expired February 1, 2000 Regulation .03A amended effective February 7, 2000 (27:2 Md. R. 148); February 5, 2001 (28:2 Md. R. 106); March 18, 2002 (29:5 Md. R. 506); April 14, 2003 (30:7 Md. R. 489); April 20, 2009 (36:8 Md. R. 598) Regulation .03A -1 adopted effective April 20, 2009 (36:8 Md. R. 598) Regulation .03E amended effective February 7, 2000 (27:2 Md. R. 148) Regulation .03-1 adopted as an emergency provision effective September 23, 2010 (37:23 Md. R. 1608); adopted permanently effective January 13, 2011 (38:1 Md. R. 13) Regulation .04 amended effective April 10, 2006 (33:7 Md. R. 676) Regulation .04B , F amended as an emergency provision effective May 21, 2004 (31:12 Md. R. 909); amended permanently effective August 16, 2004 (31:16 Md. R. 1257) Regulation .04F amended effective February 7, 2000 (27:2 Md. R. 148); February 5, 2001 (28:2 Md. R. 106); March 15, 2004 (31:5 Md. R. 452); April 9, 2007 (34:7 Md. R. 700); March 24, 2008 (35:6 Md. R. 702) Regulation .04F amended as an emergency provision effective September 23, 2010 (37:23 Md. R. 1608); amended permanently effective January 13, 2011 (38:1 Md. R. 13) Regulation .05 amended effective February 5, 2001 (28:2 Md. R. 106); March 15, 2004 (31:5 Md. R. 452); April 10, 2006 (33:7 Md. R. 676) Regulation .05E , I amended effective March 24, 2008 (35:6 Md. R. 702) Regulation .05H amended effective February 7, 2000 (27:2 Md. R. 148) Regulation .05H amended as an emergency provision effective May 21, 2004 (31:12 Md. R. 909); amended permanently effective August 16, 2004 (31:16 Md. R. 1257) Regulation .05H amended as an emergency provision effective September 23, 2010 (37:23 Md. R. 1608); amended permanently effective January 13, 2011 (38:1 Md. R. 13) Regulation .05I amended effective May 3, 1999 (26:9 Md. R. 731) Regulation .06B amended effective February 7, 2000 (27:2 Md. R. 148); February 5, 2001 (28:2 Md. R. 106); March 18, 2002 (29:5 Md. R. 506); April 14, 2003 (30:7 Md. R. 489); April 20, 2009 (36:8 Md. R. 598) Regulation .06F adopted effective November 16, 2009 (36:23 Md. R. 1819) Regulation .07 amended effective March 24, 2008 (35:6 Md. R. 702) Regulation .07A amended effective February 7, 2000 (27:2 Md. R. 148) Regulation .07C amended effective April 10, 2006 (33:7 Md. R. 676) Regulation .08 amended effective March 24, 2008 (35:6 Md. R. 702) Regulation .09 amended as an emergency provision effective May 21, 2004 (31:12 Md. R. 909); amended permanently effective August 16, 2004 (31:16 Md. R. 1257) Regulation .09A amended effective March 18, 2002 (29:5 Md. R. 506); April 20, 2009 (36:8 Md. R. 598) Regulation .09B amended effective April 10, 2006 (33:7 Md. R. 676) Regulation .09D adopted as an emergency provision effective October 1, 1999 (26:22 Md. R. 1689); emergency status expired February 1, 2000 Regulation .09D adopted effective February 7, 2000 (27:2 Md. R. 148) Regulation .09D amended effective February 5, 2001 (28:2 Md. R. 106); April 10, 2006 (33:7 Md. R. 676) Regulation .09E amended as an emergency provision effective September 23, 2010 (37:23 Md. R. 1608); amended permanently effective January 13, 2011 (38:1 Md. R. 13) Regulation .10D adopted as an emergency provision effective May 21, 2004 (31:12 Md. R. 909); adopted permanently effective August 16, 2004 (31:16 Md. R. 1257) Regulation .10D repealed effective April 10, 2006 (33:7 Md. R. 676) Regulation .11A , B amended as an emergency provision effective September 23, 2010 (37:23 Md. R. 1608); amended permanently effective January 13, 2011 (38:1 Md. R. 13) Regulation .11B amended effective November 16, 2009 (36:23 Md. R. 1819) Regulation .11C amended effective February 28, 2005 (32:4 Md. R. 412); November 16, 2009 (36:23 Md. R. 1819) Authority Health-General Article, §§19-103(c)(6), 19-108, and 19-1510; Insurance Article, §§ 2-108 , 2-109 , and 15-1207 ; Annotated Code of Maryland
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Next Chapter 07 Small Employer Group Health Insurance — Self-Employed Individuals [Repealed]
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