1042

LAWS OF MARYLAND

Ch. 21

FOR A HEALTH MAINTENANCE ORGANIZATION.

REVISOR'S NOTE: This section formerly appeared as
Article 43, § 851.

The only changes are in style.

Defined terms:

"Health maintenance organization" § 19—701

"Member" ' § 19-701 "Person" § 1-101

19-725. ENROLLMENT.

(A)  IN GENERAL.

A HEALTH MAINTENANCE ORGANIZATION MAY NOT CANCEL THE
ENROLLMENT OF A MEMBER OR REFUSE TO TRANSFER A MEMBER FROM A
GROUP TO AN INDIVIDUAL BASIS BECAUSE OF AGE, SEX, RACE, OR
HEALTH STATUS.

(B)  VIOLATION OF POLICIES.

A HEALTH MAINTENANCE ORGANIZATION MAY CANCEL A CONTRACT
WITH A MEMBER WHO VIOLATES ANY PUBLISHED POLICY OF THE
HEALTH MAINTENANCE ORGANIZATION THAT HAS BEEN APPROVED BY
THE COMMISSIONER AND THE DEPARTMENT UNDER THEIR JOINT
INTERNAL PROCEDURES.

REVISOR'S NOTE: This section formerly appeared as
Article 43, § 852.

The only changes are in style.

The Commission to Revise the Annotated Code
notes, for consideration by the General Assembly,
that while subsection (a) of this section
contains a limited prohibition against
cancellation and subsection (b) of this section
authorizes cancellation" ' under certain
circumstances, it is unclear if there are other
circumstances for cancellation.

Defined terms: "Commissioner" § 19-701
"Department" § 1-101 "Member" § 19-701
"Health maintenance organization" § 19-701

19-725. PROHIBITED USE OF CERTAIN TERMS.

(A) INSURANCE INDUSTRY NAMES.

(1) A HEALTH MAINTENANCE ORGANIZATION MAY NOT
INCLUDE IN ITS NAME:

(I) THE WORDS "INSURER", "CASUALTY",
"SURETY", OR "HEALTH AND ACCIDENT"; OR