Md. Code, Ins. § 15-1A-01

Current with changes from the 2024 Legislative Session
Section 15-1A-01 - Definitions
(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.
(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.
(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 the subtitle, meets the criteria established by the adopted regulations.
(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.
(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.
(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.

Md. Code, IN § 15-1A-01

Amended by 2024 Md. Laws, Ch. 118,Sec. 1, eff. 10/1/2024.
Amended by 2024 Md. Laws, Ch. 117,Sec. 1, eff. 10/1/2024.
Added by 2020 Md. Laws, Ch. 621, Sec. 1, eff. 5/8/2020.
Added by 2020 Md. Laws, Ch. 620, Sec. 1, eff. 5/8/2020.