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§ 15-1A-01. Definitions

West's Annotated Code of MarylandInsuranceEffective: May 8, 2020

West's Annotated Code of Maryland
Insurance (Refs & Annos)
Title 15. Health Insurance
Subtitle 1a--Consumer Protections (Refs & Annos)
Effective: May 8, 2020
MD Code, Insurance, § 15-1A-01
§ 15-1A-01. Definitions
In general
(a) In this subtitle the following words have the meanings indicated.
Carrier
(b) “Carrier” means:
(1) an insurer that holds a certificate of authority in the State and provides health insurance in the State;
(2) a health maintenance organization that is licensed to operate in the State;
(3) a nonprofit health service plan that is licensed to operate in the State; or
(4) any other person or organization that provides health benefit plans subject to State insurance regulation.
Child
(c) “Child” means:
(1) a natural child, a stepchild, a foster child, or an adopted child of the insured; or
(2) a child placed with the insured for legal adoption.
Essential health benefit
(d) “Essential health benefit” means a health benefit that:
(1) meets the criteria established under § 1302(b) of the Affordable Care Act; or
(2) if the Commissioner adopts regulations as described in § 15-1A-04 of this subtitle, meets the criteria established by the adopted regulations.
Grandfathered plan
(e) “Grandfathered plan” means a health benefit plan that:
(1) meets the criteria established under 45 C.F.R. § 147.140 and any corresponding federal rules and guidance as those provisions were in effect December 1, 2019; or
(2) if the Commissioner adopts regulations as described in § 15-1A-03 of the subtitle, meets the criteria established by the adopted regulations.
Group plan
(f) “Group plan” means a small group plan or a large group plan.
Health benefit plan
(g) “Health benefit plan” means an individual plan, a small group plan, or a large group plan.
Individual plan
(h) “Individual plan” means an individual health benefit plan as defined in § 15-1301(o) of this title.
Insured individual
(i) “Insured individual” means:
(1) an insured, an enrollee, a subscriber, a participant, a member, or a beneficiary of a health benefit plan; or
(2) any covered dependent of a health benefit plan.
Large group plan
(j) “Large group plan” means a health benefit plan as defined in § 15-1401 of this title.
Small group plan
(k) “Small group plan” means a health benefit plan as defined in § 15-1201 of this title.

Credits

Added by Acts 2020, c. 620, § 1, eff. May 8, 2020; Acts 2020, c. 621, § 1, eff. May 8, 2020.
MD Code, Insurance, § 15-1A-01, MD INSURANCE § 15-1A-01
Current through all legislation from the 2022 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
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