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§ 15-136. Bonus payments for services provided outside business hours

West's Annotated Code of MarylandInsuranceEffective: October 1, 2010

West's Annotated Code of Maryland
Insurance (Refs & Annos)
Title 15. Health Insurance
Subtitle 1. General Provisions (Refs & Annos)
Effective: October 1, 2010
MD Code, Insurance, § 15-136
§ 15-136. Bonus payments for services provided outside business hours
Definitions
(a)(1) In this section the following words have the meanings indicated.
(2) “Carrier” means:
(i) an insurer;
(ii) a nonprofit health service plan;
(iii) a health maintenance organization; or
(iv) any other person that provides health benefit plans subject to regulation by the State.
(3) “Group model health maintenance organization” has the meaning stated in § 19-713.6(a) of the Health--General Article.
Application of section
(b) This section applies only to contracts or policies that:
(1) are issued or delivered by a carrier; and
(2) provide hospital, medical, or surgical benefits to individuals or groups on an expense-incurred basis.
Bonus payments for services provided outside business h
(c)(1) Except as provided in subsection (d) of this section, each carrier shall pay a bonus to primary care providers for services provided in the office:
(i) after 6 p.m. and before 8 a.m.; or
(ii) on weekends and national holidays.
(2) A carrier shall provide for and describe the terms of the bonus payment required in paragraph (1) of this subsection in a separate clause in the carrier's contract with the primary care provider.
Physician groups under contract with group model health maintenance organization
(d) A group model health maintenance organization is not required to make any bonus payments described in subsection (c) of this section to physicians that are employed by the physician group under contract with the group model health maintenance organization.

Credits

Added by Acts 2010, c. 673, § 1, eff. Oct. 1, 2010.
MD Code, Insurance, § 15-136, MD INSURANCE § 15-136
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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