§ 19-710.2. Point-of-service option
West's Annotated Code of MarylandHealth--General
MD Code, Health - General, § 19-710.2
§ 19-710.2. Point-of-service option
(3) “Point-of-service option” means a health benefit plan that permits a member or subscriber of a health maintenance organization to receive any health care service outside the provider panel of the health maintenance organization that is covered under the member's or subscriber's contract with the health maintenance organization.
(b)(1) If an employer, association, or other private group arrangement offers health benefit plan coverage to employees or individuals only through a health maintenance organization, the health maintenance organization with which the employer, association, or other private group arrangement is contracting for the coverage shall offer, or contract with another carrier to offer, a point-of-service option to the employer, association, or other private group arrangement in conjunction with the health maintenance organization as an additional benefit for an employee or individual, at the employee's or individual's option, to accept or reject.
1. The Maryland Health Care Commission for the small group market; and
2. The Maryland Insurance Administration for the non-small group market.
(c)(1) An employer, association, or other private group arrangement may require an employee or individual that accepts the additional coverage under a point-of-service option under subsection (b) of this section to be responsible for the payment of a premium over the amount of the premium for the coverage offered by the health maintenance organization.
Credits
Added by Acts 1995, c. 604, § 2, eff. July 1, 1996; Acts 1995, c. 605, § 1, eff. Oct. 1, 1995. Amended by Acts 1996, c. 283, § 1, eff. July 1, 1996; Acts 1997, c. 697, § 1, eff. Oct. 1, 1997; Acts 1999, c. 702, § 5, eff. Oct. 1, 1999.
MD Code, Health - General, § 19-710.2, MD HEALTH GEN § 19-710.2
Current through legislation effective through April 25, 2024, from the 2024 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
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