Current through Register Vol. 51, No. 22, November 1, 2024
Section 31.10.37.02 - DefinitionsA. In this chapter, the following terms have the meanings indicated.B. Terms Defined. (1) "Blanket insurance" has the meaning stated in Insurance Article, § 15-305, Annotated Code of Maryland.(2) "Carrier" means any of the following:(b) A nonprofit health service plan;(c) A health maintenance organization; and(d) A dental plan organization.(3) "Certificate" or "summary plan description" means the benefit summary that sets forth the essential elements of a group contract and that is required to be provided by a carrier to individuals covered under a group contract.(4) "Certificate holder" means an individual who is eligible to be covered under a group contract by reason of satisfying the eligibility requirements of the group contract, other than an individual who is covered under a group contract as the spouse, domestic partner, or dependent of the certificate holder.(5) "Contract holder" means the entity to whom a contract is issued.(6) "Group contract" means a health insurance contract, a nonprofit health service plan contract, a health maintenance organization contract, or a dental plan organization contract issued by a carrier to a group for the purpose of covering:(a) Employees or members of the group;(b) The dependents of employees or members of the group; or(c) The employees, or members of the group, and the employee's, or member's dependents.(7) "Health insurance" has the meaning stated in Insurance Article, § 1-101, Annotated Code of Maryland.(8) "Individual contract" means a health insurance contract, a nonprofit health service plan contract, a health maintenance organization contract, or a dental plan organization contract issued by a carrier to a contract holder covering: (b) The contract holder's dependents; or(c) The contract holder, and the contract holder's dependents.(9) "Insurance producer" has the meaning stated in Insurance Article, § 1-101, Annotated Code of Maryland.Md. Code Regs. 31.10.37.02