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§ 15-1A-05. Grandfathered plans

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-05
§ 15-1A-05. Grandfathered plans
Application
(a) This section applies to all grandfathered plans except grandfathered plans that are individual plans and to every health benefit plan that is not a grandfathered plan.
Prohibitions
(b) A carrier may not:
(1) exclude or limit benefits because a health condition was present before the effective date of coverage; or
(2) deny coverage because a health condition was present before or on the date of denial.
Application of prohibition
(c) The prohibition in subsection (b) of this section applies whether or not:
(1) any medical advice, diagnosis, care, or treatment was recommended or received for the condition; or
(2) the health condition was identified as a result of:
(i) a pre-enrollment questionnaire or physical examination given to an individual; or
(ii) a review of records relating to the pre-enrollment period.

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-05, MD INSURANCE § 15-1A-05
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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