PARRIS N. GLENDENING, Governor

Ch. 35

Defined term: "Health insurance" § 1-101
15-502. ELIGIBILITY FOR STATE MEDICAL ASSISTANCE.

(A) SCOPE OF SECTION.

THIS SECTION APPLIES TO EACH INDIVIDUAL OR GROUP POLICY OR
CERTIFICATE OF HEALTH INSURANCE OR AUTOMOBILE INSURANCE THAT IS:

(1) DELIVERED OR ISSUED FOR DELIVERY IN THE STATE BY AN
INSURER OR NONPROFIT HEALTH SERVICE PLAN; AND

(2) ISSUED, RENEWED, AMENDED, OR REISSUED ON OR AFTER JULY 1,

1978.

(B) PROHIBITED PROVISION.

A POLICY OR CERTIFICATE SUBJECT TO THIS SECTION THAT PROVIDES OR
PAYS FOR HEALTH CARE BENEFITS MAY NOT CONTAIN A PROVISION THAT DENIES
OR REDUCES BENEFITS BECAUSE SERVICES ARE RENDERED TO A POLICYHOLDER,
CERTIFICATE HOLDER, OR BENEFICIARY WHO IS ELIGIBLE FOR OR RECEIVES
MEDICAL ASSISTANCE UNDER § 15-103 OF THE HEALTH - GENERAL ARTICLE.

REVISOR'S NOTE: This section is new language derived without substantive
change from former Art. 48A, §§ 354M, 470L, and 477Q.

In the introductory language of subsection (a) of this section, the defined term
"health insurance" is substituted for the former references to "sickness"
insurance and "accident" insurance in light of the comprehensive definition of
"health insurance".

In subsection (a)(1) of this section, the reference to a policy or certificate that
is delivered or issued for delivery in the State "by an insurer or nonprofit
health service plan" is added to clarify the applicability of this section.

Also in subsection (a)(1) of this section, the former references to a policy or
certificate delivered or issued for delivery "to a person" in the State are
deleted as implicit.

In subsection (a)(2) of this section, the former references to a policy or
certificate that is "modified" or "altered" are deleted as included in the
reference to a policy or certificate that is "amended".

Defined terms: "Health insurance" § 1-101
"Insurer" § 1-101
"Policy" § 1-101

15-503. EXPOSURE TO DIETHYLSTILBESTROL.

AN INSURER OR NONPROFIT HEALTH SERVICE PLAN MAY NOT DENY, CANCEL,
OR REFUSE TO RENEW AN INDIVIDUAL, GROUP, OR BLANKET HEALTH INSURANCE
POLICY SOLELY BECAUSE THE INSURED HAS BEEN EXPOSED TO
DIETHYLSTILBESTROL, COMMONLY KNOWN AS DES.

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