Md. Code Regs. 31.11.14.02

Current through Register Vol. 51, No. 12, June 14, 2024

Section 31.11.14.02 - Definitions

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

B. Terms Defined.

(1) "Carrier" has the meaning stated in Insurance Article, § 15-1201, Annotated Code of Maryland.

(2) "Case management program" means a program that involves a collaborative process of assessment, planning, implementation, coordination, monitoring, and evaluation of the options and services required to meet an individual's health needs through communication and available resources to promote quality cost effective outcomes.

(3) "Disease management program" means a program of preventive, diagnostic, and therapeutic services for certain patients that are considered to be at risk.

(4) "Eligible employee" has the meaning stated in Insurance Article, § 15-1201, Annotated Code of Maryland.

(5) "Health benefit plan" has the meaning stated in Insurance Article, § 15-1201, Annotated Code of Maryland.

(6) "Health risk assessment" means a self-reported health questionnaire that:

(a) Asks a variety of personal questions about lifestyle and behavioral habits, such as physical activity level, eating habits, and stress; and

(b) Includes, but is not limited to, biometric measures and other health status information.

(7) "Preventive services" means the services required to be covered under the small employer standard plan, as described in COMAR 31.11.06.03A(9).

(8) "Prominent carrier" means a carrier that insures at least 10 percent of the total lives insured in the Maryland small group market.

(9) "Small employer" has the meaning stated in Insurance Article, § 15-1201, Annotated Code of Maryland.

(10) "Standard plan" has the meaning stated in Insurance Article, § 15-1201, Annotated Code of Maryland.

(11) "Wellness benefit":

(a) Has the meaning stated in Insurance Article, § 15-1201, Annotated Code of Maryland; and

(b) Complies with the requirements set forth in Regulations .03 and .04 of this chapter.

(12) "Wellness program" has the meaning stated in Insurance Article, § 15-1201, Annotated Code of Maryland.

Md. Code Regs. 31.11.14.02

Regulations .02 adopted as an emergency provision effective April 1, 2008 (35:9 Md. R. 896); adopted permanently effective July 17, 2008 (35:14 Md. R. 1248)
Regulation .02B amended effective October 19, 2009 (36:21 Md. R. 1594)