PARRIS N. GLENDENING, Governor

Ch. 35

(I) PROVIDES COVERAGE ON AN EXPENSE-INCURRED BASIS FOR
EMPLOYEES OF AN EMPLOYER OR EMPLOYERS OR MEMBERS OF A UNION OR
UNIONS; AND

(II) PROVIDES COVERAGE FOR A FAMILY MEMBER OF A COVERED
EMPLOYEE OR MEMBER; AND

(3) EACH INDIVIDUAL SERVICE OR INDEMNITY CONTRACT THAT:

(I) IS ISSUED BY A NONPROFIT HEALTH SERVICE PLAN; AND

(II) PROVIDES COVERAGE FOR A FAMILY MEMBER OF THE

SUBSCRIBER.

(B) IN GENERAL.

EACH POLICY OR CONTRACT SUBJECT TO THIS SECTION SHALL PROVIDE THAT
THE SAME HEALTH INSURANCE BENEFITS AND ELIGIBILITY GUIDELINES THAT
APPLY TO ANY COVERED DEPENDENT ARE AVAILABLE, ON REQUEST OF THE
INSURED, SUBSCRIBER, EMPLOYEE, OR MEMBER, TO A GRANDCHILD WHO:

(1) IS UNMARRIED;

(2) IS IN THE COURT-ORDERED CUSTODY OF THE INSURED,
SUBSCRIBER, EMPLOYEE, OR MEMBER;

(3) RESIDES WITH THE INSURED, SUBSCRIBER, EMPLOYEE, OR

MEMBER;

(4) IS THE DEPENDENT OF THE INSURED, SUBSCRIBER, EMPLOYEE, OR
MEMBER; AND

(5) HAS NOT ATTAINED THE LIMITING AGE UNDER THE TERMS OF THE
POLICY OR CONTRACT.

(C) MARITAL STATUS IMMATERIAL.

ON REQUEST, AN INSURER THAT ISSUES AN INDIVIDUAL OR GROUP HEALTH
INSURANCE POLICY THAT PROVIDES COVERAGE ON AN EXPENSE-INCURRED BASIS
OR A NONPROFIT HEALTH SERVICE PLAN SHALL OFFER FAMILY MEMBERS'
COVERAGE TO AN INSURED OR SUBSCRIBER REGARDLESS OF THE MARITAL STATUS
OF THE INSURED OR SUBSCRIBER.

(D) REQUIRED PROOF.

(1) AN INSURER OR NONPROFIT HEALTH SERVICE PLAN MAY REQUIRE
PROOF THAT THE INSURED OR SUBSCRIBER IS THE GRANDPARENT OF THE
GRANDCHILD.

(2) IF THE INSURER OR NONPROFIT HEALTH SERVICE PLAN REQUIRES
PROOF UNDER THIS SUBSECTION, THE INSURER OR NONPROFIT HEALTH SERVICE
PLAN SHALL PAY THE COST OF THE PROOF.

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