|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Ch. 417
|
|
2005 LAWS OF MARYLAND
|
|
|
|
|
|
|
|
|
|
|
|
|
(I) A HEALTH INSURANCE CONTRACT THAT IS ISSUED OR
DELIVERED IN THE STATE BY AN INSURER;
(II) A CONTRACT THAT IS ISSUED OR DELIVERED IN THE STATE BY
A NONPROFIT HEALTH SERVICE PLAN; OR
(III) A CONTRACT THAT IS ISSUED OR DELIVERED IN THE STATE BY
A HEALTH MAINTENANCE ORGANIZATION.
(4) "HEALTH STATUS-RELATED FACTOR" HAS THE MEANING STATED IN
§ 15-1301 OF THIS ARTICLE.
(5) "INDIVIDUAL CONTRACT" MEANS A CONTRACT BETWEEN A CARRIER
AND AN INDIVIDUAL COVERING:
(I) THE INDIVIDUAL;
(II) THE INDIVIDUAL AND THE INDIVIDUAL'S FAMILY MEMBERS; OR
(III) THE FAMILY MEMBERS OF THE INDIVIDUAL.
(6) (I) "REUNDERWRITE" MEANS TO REEVALUATE ANY HEALTH
STATUS-RELATED FACTOR, OCCUPATION, HOBBY, OR ACTIVITY OF AN INDIVIDUAL
FOR THE PURPOSE OF:
1. TERMINATING HEALTH COVERAGE OF THE INDIVIDUAL;
OR
2. MOVING THE INDIVIDUAL FROM A MORE FAVORABLE
RATE CLASS TO A LESS FAVORABLE RATE CLASS.
(II) "REUNDERWRITE" DOES NOT INCLUDE WHEN A CARRIER:
1. MOVES MOVING AN INDIVIDUAL FROM ONE RATE TIER TO
ANOTHER RATE TIER SOLELY DUE TO THE ADDITION OR DELETION OF A FAMILY
MEMBER UNDER THE HEALTH COVERAGE;
2. INCREASES INCREASING THE PREMIUM UNDER AN
ATTAINED AGE RATED CONTRACT SOLELY DUE TO THE INCREASING AGE-OP AGE OF
THE INDIVIDUAL COVERED UNDER THE HEALTH COVERAGE; OR
3. ON RECEIVING RECEIPT OF AN APPLICATION FROM AN
INSURED TO INCREASE THE BENEFITS UNDER AN EXISTING CONTRACT, EVALUATES
EVALUATING THE HEALTH STATUS-RELATED FACTORS, OCCUPATION, HOBBIES, OR
ACTIVITIES OF THE INSURED FOR THE PURPOSE OF INCREASING THE BENEFITS
UNDER THE CONTRACT; OR
4. DURING THE PERIOD IN WHICH A CARRIER HAS THE
RIGHT TO CONTEST A POLICY, DENYING A CLAIM, AMENDING THE POLICY, MAKING
AN ADJUSTMENT TO THE PREMIUM, OR RESCINDING THE POLICY BASED ON A
MATERIAL MISREPRESENTATION OR FRAUD IN THE APPLICATION.
|
|
|
|
|
|
|
|
|
|
- 1944 -
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
 |
