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Session Laws, 2004
Volume 801, Page 1521   View pdf image
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ROBERT L. EHRLICH, JR., Governor                             Ch. 415

(i) a hospital or medical policy or contract, including a policy or
contract issued under a multiple employer trust or association;

(ii) a hospital or medical policy or contract issued by a nonprofit
health service plan;

(iii) a health maintenance organization contract; or

(iv) a dental plan organization contract.

(2) "Health benefit plan" does not include one or more, or any
combination of the following:

(i) long-term care insurance;

(ii) disability insurance;

(iii) accidental travel and accidental death and dismemberment
insurance;

(iv) credit health insurance;

(v) a health benefit plan issued by a managed care organization, as
defined in Title 15, Subtitle 1 of the Health - General Article;

(vi) disease-specific insurance; or

(vii) fixed indemnity insurance.

[(h)] (K) (I) "Health care provider" means:

(1)     an individual who is licensed under the Health Occupations Article to
provide health care services in the ordinary course of business or practice of a
profession and is a treating provider of the member; or

(2)     a hospital, as defined in § 19-301 of the Health - General Article.

[(i)] (L) (J) "Health care service" means a health or medical care
procedure or service rendered by a health care provider that:

(1)     provides testing, diagnosis, or treatment of a human disease or
dysfunction; or

(2)     dispenses drugs, medical devices, medical appliances, or medical
goods for the treatment of a human disease or dysfunction.

[(j)] (M) (K) (1) "Member" means a person entitled to health care services
under a policy, HEALTH BENEFIT plan, or contract issued or delivered in the State by
a carrier.

(2) "Member" includes:

(i) a subscriber; and

(ii) unless preempted by federal law, a Medicare recipient.

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Session Laws, 2004
Volume 801, Page 1521   View pdf image
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