Home Table of Contents

§ 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
Currentness
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 legislation effective through April 9, 2023, from the 2024 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
End of Document