§ 15-1406. Eligibility of individuals to enroll under group health benefit plan
West's Annotated Code of MarylandInsurance
MD Code, Insurance, § 15-1406
§ 15-1406. Eligibility of individuals to enroll under group health benefit plan
(a) A carrier may not establish rules for eligibility of an individual to enroll under a group health benefit plan based on any health status-related factor.
(b) Subsection (a) of this section does not:
(c) Rules for eligibility to enroll under a plan include rules defining any applicable waiting periods for enrollment.
(d) A carrier shall allow an employee or dependent who is eligible, but not enrolled, for coverage under the terms of a group health benefit plan to enroll for coverage under the terms of the plan if:
(2) the employee states in writing, at the time coverage was previously offered, that coverage under an employer-sponsored plan or group health benefit plan was the reason for declining enrollment, but only if the plan sponsor or issuer requires the statement and provides the employee with notice of the requirement;
(ii) was not under a COBRA continuation provision, and either the coverage was terminated as a result of loss of eligibility for the coverage, including loss of eligibility as a result of legal separation, divorce, death, termination of employment, or reduction in the number of hours of employment, or employer contributions towards the coverage were terminated; and
(e) A carrier shall allow an employee or dependent who is eligible, but not enrolled, for coverage under the terms of a group health benefit plan to enroll for coverage under the terms of the plan if the employee or dependent requests enrollment within 30 days after the employee or dependent is determined to be eligible for coverage under the MCHP private option plan in accordance with § 15-301.1 of the Health-General Article.
Credits
Added by Acts 1997, c. 294, § 3, eff. Oct. 1, 1997. Amended by Acts 2000, c. 15, § 2, eff. July 1, 2001; Acts 2000, c. 16, § 2, eff. July 1, 2001; Acts 2000, c. 32, § 1, eff. July 1, 2000; Acts 2001, c. 29, § 1, eff. April 10, 2001.
Formerly Art. 48A, § 769.
MD Code, Insurance, § 15-1406, MD INSURANCE § 15-1406
Current with all legislation from the 2023 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
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