# COMAR 31.10.06.07: COMAR 31.10.06.07. Policy Provisions

> Maryland · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_31_10_06_07

## Section

- **Citation:** COMAR 31.10.06.07
- **Heading:** COMAR 31.10.06.07. Policy Provisions
- **Jurisdiction:** Maryland
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Code of Maryland Regulations / Title 31 MARYLAND INSURANCE ADMINISTRATION / Subtitle 10 HEALTH INSURANCE — GENERAL / Chapter 06 Standards for Medicare Supplement Policies / COMAR 31.10.06.07

## Text

A. Except for permitted preexisting condition clauses as described in Regulations .08B and .27B(2) of this chapter, a policy or certificate may not be advertised, solicited, or issued for delivery in this State as a Medicare supplement policy if the policy or certificate contains limitations or exclusions on coverage that are more restrictive than those of Medicare.
B. A Medicare supplement policy or certificate may not use waivers to exclude, limit, or reduce coverage or benefits for specifically named or described preexisting diseases or physical conditions.
C. A Medicare supplement policy or certificate in force in this State may not contain benefits which duplicate benefits provided by Medicare.
D. Polices With Benefits for Outpatient Prescription Drugs.
(1) Subject to COMAR 31.10.05.07B(4) and (6)—(9), and Regulation .08B(5)—(10) of this chapter, a Medicare supplement policy with benefits for outpatient prescription drugs in existence before January 1, 2006, shall be renewed for current policyholders who do not enroll in Part D at the option of the policyholder.
(2) A Medicare supplement policy with benefits for outpatient prescription drugs may not be issued after December 31, 2005.
(3) After December 31, 2005, a Medicare supplement policy with benefits for outpatient prescription drugs may not be renewed after the policyholder enrolls in Medicare Part D unless:
(a) The policy is modified to eliminate outpatient prescription coverage for expenses of outpatient prescription drugs incurred after the effective date of the individual's coverage under a Part D plan; and
(b) Premiums are adjusted to reflect the elimination of outpatient prescription drug coverage at the time of Medicare Part D enrollment, accounting for any claims paid, if applicable.

## Nearby sections

- [COMAR 31.10.06.01 COMAR 31.10.06.01. Applicability and Scope](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_31_10_06_01.md)
- [COMAR 31.10.06.02 COMAR 31.10.06.02. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_31_10_06_02.md)
- [COMAR 31.10.06.03 COMAR 31.10.06.03. Policy Definitions and Terms](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_31_10_06_03.md)
- [COMAR 31.10.06.04 COMAR 31.10.06.04. Filing and Approval of Policies and Certificates and Premium Rates](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_31_10_06_04.md)
- [COMAR 31.10.06.05 COMAR 31.10.06.05. Filing Requirements for Advertising](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_31_10_06_05.md)
- [COMAR 31.10.06.06 COMAR 31.10.06.06. Open Enrollment](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_31_10_06_06.md)
- [COMAR 31.10.06.07 COMAR 31.10.06.07. Policy Provisions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_31_10_06_07.md)
- [COMAR 31.10.06.08 COMAR 31.10.06.08. Benefit Standards for 1990 Standardized Medicare Supplement Benefit Plans](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_31_10_06_08.md)
- [COMAR 31.10.06.09 COMAR 31.10.06.09. Standard Medicare Supplement Benefit Plans for 1990 Plans](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_31_10_06_09.md)
- [COMAR 31.10.06.09-1 COMAR 31.10.06.09-1. Guaranteed Issue for Eligible Individuals](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_31_10_06_09_1.md)
- [COMAR 31.10.06.10 COMAR 31.10.06.10. Standards for Claims Payment](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_31_10_06_10.md)
- [COMAR 31.10.06.11 COMAR 31.10.06.11. Loss Ratio Standards and Refund or Credit of Premium](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_31_10_06_11.md)
- [COMAR 31.10.06.12 COMAR 31.10.06.12. Permitted Compensation Arrangements](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_31_10_06_12.md)
- [COMAR 31.10.06.13 COMAR 31.10.06.13. Required Disclosure Provisions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_31_10_06_13.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_31_10_06_07. Check the current official text before relying on it. Not legal advice.