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Session Laws, 1986
Volume 768, Page 3786   View pdf image
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3786

VETOES

HOSPITAL, MEDICAL, OR SURGICAL BENEFITS OFFERED TO THE INSURER
EMPLOYEES OF THE EMPLOYER.

(C)  "GROUP PLAN" MEANS ANY INSURED OR SELF-INSURED GROUP
HEALTH BENEFIT PROGRAM PROVIDED TO A RESIDENT OF THIS STATE BY
ANY PERSON, INCLUDING AN EMPLOYER, ASSOCIATION, INSURANCE
COMPANY, OR NONPROFIT HEALTH SERVICE PLAN, OR HEALTH MAINTENANCE
ORGANIZATION.

(D)  "MEMBER" MEANS ANY INDIVIDUAL WHO:

(1)  ELECTS TO RECEIVE BENEFITS, AND PAYS THE PREMIUMS
ESTABLISHED, UNDER THE PLAN; AND

(2)  IS A RESIDENT OF THIS STATE; AND

(3)  (I) IS:

1. CERTIFIED BY THE SECRETARY OF THE
DEPARTMENT OF EMPLOYMENT AND TRAINING AS UNEMPLOYED WITHIN THE
MEANING OF SECTION 20(L) OF ARTICLE 95A; OR AND

2. NOT ELIGIBLE FOR HOSPITAL, MEDICAL, OR
SURGICAL BENEFITS UNDER ANY GROUP PLAN OTHER THAN THE PLAN WHICH
IS WRITTEN ON AN EXPENSE INCURRED BASIS OR WHICH IS A HEALTH
MAINTENANCE ORGANIZATION; AND

3. NOT ENTITLED TO BENEFITS UNDER TITLE
XVIII OF THE SOCIAL SECURITY ACT; OR

(II) IS A QUALIFIED BENEFICIARY WHO WOULD
OTHERWISE BE OFFERED ENTITLED, BY REASON OF THIS ARTICLE, TO
HEALTH COVERAGE UNDER A GROUP CONTRACT BUT FOR THE:

1.  NONEXISTENCE OF A GROUP CONTRACT; OR

2.  OCCURRENCE OF THE TERMINATION DATE.

(E)  "PLAN" MEANS THE MARYLAND GROUP HEALTH INSURANCE PLAN.

(F)  "QUALIFIED BENEFICIARY" MEANS AN INDIVIDUAL:

(1)  WHO IS DIVORCED OR THE DEPENDENT CHILD OF SUCH
INDIVIDUAL;

(2)  WHO IS WIDOWED OR THE DEPENDENT CHILD OF SUCH
INDIVIDUAL; OR

(3)  WHOSE EMPLOYMENT IS TERMINATED OR THE SPOUSE OR
DEPENDENT CHILD OF SUCH INDIVIDUAL.

(G)  "TERMINATION DATE" IS MEANS THE DATE ON WHICH GROUP
HEALTH COVERAGE REQUIRED BY THIS ARTICLE CEASES TO BE AVAILABLE
TO A QUALIFIED BENEFICIARY, NOTWITHSTANDING THE QUALIFIED
BENEFICIARIES BENEFICIARY'S CONTINUED ELIGIBILITY FOR SUCH
COVERAGE.

 

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Session Laws, 1986
Volume 768, Page 3786   View pdf image
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