§ 15-1201. Definitions
West's Annotated Code of MarylandInsuranceEffective: July 1, 2019
Effective: July 1, 2019
MD Code, Insurance, § 15-1201
§ 15-1201. Definitions
(b) “Board” means the Board of Directors of the Pool established under § 15-1216 of this subtitle.
(c) “Carrier” means a person that:
(d) “Commission” means the Maryland Health Care Commission established under Title 19, Subtitle 1 of the Health--General Article.
(f)(1) “Eligible employee” means an employee who is offered coverage under a health benefit plan by a small employer.
(h)(1) “Full-time employee” means, with respect to a calendar month, an employee of a small employer who works, on average, at least 30 hours per week.
(i)(1) “Health benefit plan” means:
(j) “Health care practitioner” has the meaning stated in § 1-301 of the Health Occupations Article.
(k) “Health status-related factor” means a factor related to:
(l) “Late enrollee” means an eligible employee or dependent who requests enrollment in a health benefit plan after the initial enrollment period provided under the health benefit plan.
(m) “Minimum essential coverage” has the meaning stated in 45 C.F.R. § 155.20.
(n) “Part-time employee” means an employee of a small employer who:
(o) “Plan year” means a calendar year or other consecutive 12-month period during which a health benefit plan provides coverage for health care services.
(p) “Pool” means the Maryland Small Employer Health Reinsurance Pool established under this subtitle.
(q) “Preexisting condition” means:
(r) “Preexisting condition provision” means a provision in a health benefit plan that denies, excludes, or limits benefits for an enrollee for expenses or services related to a preexisting condition.
(t) “Qualified health plan” has the meaning stated in § 31-101 of this article.
(v) “Risk-assuming carrier” means a carrier that does not participate in the Pool.
(y) “Special enrollment period” means a period during which a group health plan shall permit certain individuals who are eligible for coverage, but not enrolled, to enroll for coverage under the terms of the group health benefit plan.
(z) “Standard Plan” means the Comprehensive Standard Health Benefit Plan adopted by the Commission in accordance with § 15-1207 of this subtitle and Title 19, Subtitle 1 of the Health--General Article.
(aa) “Wellness benefit” means a benefit that:
(bb)(1) “Wellness program” means a program or activity that:
Credits
Added by Acts 1997, c. 35, § 2, eff. Oct. 1, 1997. Amended by Acts 1997, c. 420, § 1, eff. Oct. 1, 1997; Acts 1998, c. 376, § 1, eff. July 1, 1998; Acts 1998, c. 377, § 1, eff. July 1, 1998; Acts 2000, c. 32, § 1, eff. July 1, 2000; Acts 2000, c. 400, § 1, eff. June 1, 2000; Acts 2004, c. 287, § 1, eff. July 1, 2004; Acts 2004, c. 287, § 2, eff. July 1, 2004; Acts 2005, c. 347, § 1, eff. Oct. 1, 2005; Acts 2007, c. 600, § 1, eff. July 1, 2007; Acts 2007, 1st Sp. Sess., c. 7, § 2, eff. Nov. 19, 2007; Acts 2009, c. 682, § 1, eff. Oct. 1, 2009; Acts 2009, c. 683, § 1, eff. Oct. 1, 2009; Acts 2013, c. 43, § 5; Acts 2013, c. 368, § 2, eff. Jan. 1, 2014; Acts 2015, c. 363, § 1, eff. May 12, 2015; Acts 2017, c. 720, § 1, eff. June 1, 2017; Acts 2019, c. 355, §§ 1, 2, eff. July 1, 2019.
MD Code, Insurance, § 15-1201, MD INSURANCE § 15-1201
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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