Md. Code Ann., Ins. § 15-1A-01
Redline — January 1, 2025 → current.View current text →
Current — January 1, 2026
As of January 1, 2025
(a) In this subtitle the following words have the meanings indicated.
(a) In this subtitle the following words have the meanings indicated.
(b) “Carrier” means:
(1) an insurer that holds a certificate of authority in the State and provides health insurance in the State;
(2) a health maintenance organization that is licensed to operate in the State;
(3) a nonprofit health service plan that is licensed to operate in the State; or
(4) any other person or organization that provides health benefit plans subject to State insurance regulation.
(b) “Carrier” means:
(1) an insurer that holds a certificate of authority in the State and provides health insurance in the State;
(2) a health maintenance organization that is licensed to operate in the State;
(3) a nonprofit health service plan that is licensed to operate in the State; or
(4) any other person or organization that provides health benefit plans subject to State insurance regulation.
(c) “Child” means:
(1) a natural child, a stepchild, a foster child, or an adopted child of the insured; or
(2) a child placed with the insured for legal adoption.
(c) “Child” means:
(1) a natural child, a stepchild, a foster child, or an adopted child of the insured; or
(2) a child placed with the insured for legal adoption.
(d) “Essential health benefit” means a health benefit that:
(1) meets the criteria established under § 1302(b) of the Affordable Care Act; or
(2) if the Commissioner adopts regulations as described in § 15–1A–04 of this subtitle, meets the criteria established by the adopted regulations.
(d) “Essential health benefit” means a health benefit that:
(1) meets the criteria established under § 1302(b) of the Affordable Care Act; or
(2) if the Commissioner adopts regulations as described in § 15–1A–04 of this subtitle, meets the criteria established by the adopted regulations.
(e) “Grandfathered plan” means a health benefit plan that: (1) meets the criteria established under 45 C.F.R. § 147.140 and any corresponding federal rules and guidance as those provisions were in effect December 1, 2023; or (2) if the Commissioner adopts regulations as described in § 15–1A–03 of this subtitle, meets the criteria established by the adopted regulations.
(e) “Grandfathered plan” means a health benefit plan that: (1) meets the criteria established under 45 C.F.R. § 147.140 and any corresponding federal rules and guidance as those provisions were in effect December 31, 2024; or (2) if the Commissioner adopts regulations as described in § 15–1A–03 of this subtitle, meets the criteria established by the adopted regulations.
(f) “Group plan” means a small group plan or a large group plan.
(f) “Group plan” means a small group plan or a large group plan.
(g) “Health benefit plan” means an individual plan, a small group plan, or a large group plan.
(g) “Health benefit plan” means an individual plan, a small group plan, or a large group plan.
(h) “Individual plan” means an individual health benefit plan as defined in § 15–1301(o) of this title.
(h) “Individual plan” means an individual health benefit plan as defined in § 15–1301(o) of this title.
(i) “Insured individual” means:
(1) an insured, an enrollee, a subscriber, a participant, a member, or a beneficiary of a health benefit plan; or
(2) any covered dependent of a health benefit plan.
(i) “Insured individual” means:
(1) an insured, an enrollee, a subscriber, a participant, a member, or a beneficiary of a health benefit plan; or
(2) any covered dependent of a health benefit plan.
(j) “Large group plan” means a health benefit plan as defined in § 15–1401 of this title.
(j) “Large group plan” means a health benefit plan as defined in § 15–1401 of this title.
(k) “Small group plan” means a health benefit plan as defined in § 15–1201 of this title.
(k) “Small group plan” means a health benefit plan as defined in § 15–1201 of this title.
Official source: Maryland General Assembly. Reproduced from public-domain Maryland statutes; confirm against the official source for the current text. Not legal advice.