§ 15-1301. Definitions
West's Annotated Code of MarylandInsuranceEffective: May 8, 2020
Effective: May 8, 2020
MD Code, Insurance, § 15-1301
§ 15-1301. Definitions
(b) “Affiliation period” means a period of time beginning on the date of enrollment and not to exceed 2 months, or 3 months in the case of a late enrollee, during which a health maintenance organization does not collect premium, and coverage issued does not become effective.
(c) “Association” or “bona fide association” means an association that:
(d) “Benefit year” means a calendar year in which a health benefit plan provides coverage for health benefits.
(e) “Carrier” means a person that is:
(f) “Church plan” means a plan as defined under § 3(33) of the Employee Retirement Income Security Act of 1974.1
(g) “Eligible individual” means an individual who applies for or is covered under an individual health benefit plan.
(h) “Employer sponsored plan” means an employee welfare benefit plan that provides medical care to employees or their dependents, and is not subject to State regulation in accordance with the federal Employee Retirement Income Security Act of 1974.
(i) “Enrollment date” means the date on which:
(j) “Governmental plan” means a plan as defined in § 3(32) of the Employee Retirement Income Security Act of 1974 and any federal governmental plan.
(k) “Grandfathered health plan coverage” has the meaning stated in 45 C.F.R. § 147.140.
(l)(1) “Health benefit plan” means a:
3. a notice is displayed prominently in the application materials, in at least 14 point type, that has the following language in capital letters: “This is a supplement to health insurance and is not a substitute for major medical coverage. Lack of major medical coverage (or other minimum essential coverage) may result in an additional payment with your taxes.”; or
(m) “Health status-related factor” means a factor related to:
(o)(1) “Individual health benefit plan” means:
(ii) a certificate issued to an eligible individual that evidences coverage under a policy or contract issued to a trust or association or other similar group of individuals, regardless of the situs of delivery of the policy or contract, if the eligible individual pays the premium and is not being covered under the policy or contract under either federal or State continuation of benefits provisions.
(p) “Minimum essential coverage” has the meaning stated in 45 C.F.R. § 155.20.
(q) “Preexisting condition” means a condition that was present before the date of enrollment for coverage, whether or not any medical advice, diagnosis, care, or treatment was recommended or received before that date.
(r) “Qualified health plan” has the meaning stated in § 31-101 of this article.
(s) “Short-term limited duration insurance” means health insurance coverage provided under a policy or contract with a carrier and that:
Credits
Added by Acts 1997, c. 294, § 3, eff. Oct. 1, 1997. Amended by Acts 2000, c. 32, § 1, eff. July 1, 2000; Acts 2004, c. 60, § 1, eff. July 1, 2004; Acts 2005, c. 25, § 13, eff. April 12, 2005; Acts 2008, c. 692, § 1, eff. July 1, 2008; Acts 2010, c. 734, § 1, eff. July 1, 2010; Acts 2013, c. 368, § 2, eff. Jan. 1, 2014; Acts 2014, c. 23, §§ 1, 2, eff. July 1, 2014; Acts 2015, c. 363, § 1, eff. May 12, 2015; Acts 2017, c. 720, § 1, eff. June 1, 2017; Acts 2018, c. 37, § 1, eff. April 10, 2018; Acts 2018, c. 38, § 1, eff. April 10, 2018; Acts 2020, c. 628, § 1, eff. May 8, 2020.
Footnotes
Pub.L. 93-406, Sept. 2, 1974, 88 Stat. 829, codified at 29 U.S.C.A. § 1001 et seq.
MD Code, Insurance, § 15-1301, MD INSURANCE § 15-1301
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.
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