Maryland Code § IN-27-210

Section IN-27-210
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(a) Sections 27-208 and 27-209 of this subtitle may not be construed to
include within the definition of discrimination or rebates any of the practices set forth
in this section.
(b) For a contract of life insurance or an annuity contract, it is not
discrimination or a rebate to pay bonuses to policyholders or otherwise abate their
premiums wholly or partly out of the surplus accumulated from nonparticipating
insurance, if the bonuses or abatement of premiums is fair, equitable to, and in the
best interest of policyholders.
(c) For policies of life insurance or health insurance issued on the industrial
debit, preauthorized check, bank draft, or similar plans, it is not discrimination or a
rebate to make an allowance to policyholders who have continuously for a specified
period made premium payments directly to an office of the insurer or by
preauthorized check, bank draft, or similar plans in an amount that fairly represents
the savings in collection expense.
(d) It is not discrimination or a rebate to readjust the rate of premium for a
group policy based on the loss or expense experience under the policy, at the end of
any policy year, retroactive only for that policy year.
(e) It is not discrimination or a rebate to reduce the premium rate for
policies of large amount, if the reduction does not exceed savings in issuance and
administrative expenses reasonably attributable to policies of large amount as
compared with policies of similar plan issued in smaller amounts.
(f) It is not discrimination or a rebate to issue policies of life insurance or
health insurance or annuity contracts on a salary savings or payroll deduction plan
or other distribution plan at a reduced rate reasonably commensurate with the
savings made by use of the plan.

(g) It is not discrimination or a rebate to issue policies of health insurance
that provide for increases in benefits to policyholders who maintain their policies
continuously in force without lapse for specified periods.
(h) (1) In this subsection, "wellness program" means a program that:
(i) meets the requirements of a participatory wellness
program or a health-contingent wellness program under § 15-509 of this article; and
(ii) is provided as a benefit outside of the health insurance or
health maintenance organization contract.
(2) It is not discrimination or a rebate for a carrier to provide
reasonable incentives to an individual who is an insured, a subscriber, or a member
for participation in a wellness program offered by the carrier.
(3) Any incentive offered for participation in a wellness program:
(i) shall be reasonably related to the wellness program; and
(ii) may not have a value that exceeds any limit established in
regulations adopted by the Commissioner.
(4) The Commissioner shall adopt regulations to implement the
provisions of this subsection.

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