Md. Code Regs. 31.10.33.02

Current through Register Vol. 51, No. 22, November 1, 2024

Section 31.10.33.02 - Definitions

A. In this chapter, the following terms have the meanings indicated.

B. Terms Defined.

(1) "Body mass index" has the meaning stated in Insurance Article, § 15-839, Annotated Code of Maryland.

(2) "Carrier" means an insurer, a nonprofit health service plan, or a health maintenance organization.

(3) "Commissioner" means the Maryland Insurance Commissioner.

(4) "Health maintenance organization" has the meaning stated in Health-General Article, §19-701, Annotated Code of Maryland.

(5) "Insurer" has the meaning stated in Insurance Article, § 1-101, Annotated Code of Maryland.

(6) "Member" means an individual who is covered by a contract that:

(a) Is issued or delivered by a carrier in the State; and

(b) Includes a benefit for the surgical treatment of morbid obesity.

(7) "Morbid obesity" has the meaning stated in Insurance Article, § 15-839, Annotated Code of Maryland.

(8) "Nonprofit health service plan" means a person who has received a certificate of authority from the Commissioner to act as a nonprofit health service plan in the State.

(9) "Private review agent" has the meaning stated in Insurance Article, § 15-10 B-01, Annotated Code of Maryland.

(10) "Utilization review" has the meaning stated in Insurance Article, § 15-10 B-01, Annotated Code of Maryland.

Md. Code Regs. 31.10.33.02