Maryland Code § IN-27-909.1

Section IN-27-909.1
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(a) (1) In this section the following words have the meanings indicated.

(2) "Genetic test" means an analysis of human DNA, RNA,
chromosomes, proteins, or metabolites that detects genotypes, mutations, or
chromosomal changes.
(3) "Insurance carrier" means a company authorized to sell insurance
policies in the State.
(b) (1) This section applies only to life insurance and disability insurance
policies or contracts.
(2) This section does not prohibit an insurance carrier that offers,
issues, or delivers a life insurance or disability insurance policy or contract in the
State from:
(i) accessing an applicant's medical record as part of the
application process; or
(ii) considering a medical diagnosis included in an individual's
medical record, even if the diagnosis was based on the results of a genetic test.
(c) (1) Except as provided in paragraph (2) of this subsection and subject
to paragraph (3) of this subsection, an insurance carrier that offers, issues, or delivers
a life insurance or disability insurance policy or contract in the State may not unfairly
discriminate against an individual by conditioning insurance rates, the provision or
renewal of insurance coverage, or other conditions of insurance based on medical
information, including the results of a genetic test for which there is not a
relationship between the medical information and the cost of the insurance risk that
the insurer would assume by insuring the applicant.
(2) In demonstrating the relationship described in paragraph (1) of
this subsection, the insurer may rely on actuarially sound principles or actual or
reasonably anticipated experience.
(3) An insurance carrier that offers, issues, or delivers a life
insurance or disability insurance policy or contract in the State may not:
(i) access sensitive medical information, including the genetic
data of an individual, without first obtaining the individual's signed, written consent;
or
(ii) mandate existing or new genetic testing or full genome
sequencing as a prerequisite for life insurance or disability insurance eligibility or
coverage.

(4) The insurance carrier, applicant, or policy or contract holder may
not waive the provisions of paragraph (3)(ii) of this subsection under any
circumstances.
(d) The Commissioner may issue an order under §§ 4-113 and 4-114 of this
article or §§ 27-501 and 27-505 of this title if the Commissioner finds a violation of
this section.

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