Ch. 9                                             1993 LAWS OF MARYLAND

Article 48A—Insurance Code

55. HEALTH INSURANCE REFORM

698.

(A) IN THIS SUBTITLE THE FOLLOWING WORDS HAVE THE MEANINGS
INDICATED.

(B) "CARRIER" MEANS:

(1) AN INSURER THAT HOLDS A CERTIFICATE OF AUTHORITY IN THIS
STATE AND PROVIDES HEALTH INSURANCE IN THIS STATE;

(2)      A HEALTH MAINTENANCE ORGANIZATION THAT IS LICENSED TO
OPERATE IN THIS STATE;

(3) A MULTIPLE EMPLOYER WELFARE ARRANGEMENT;

(4)      A MULTIPLE EMPLOYER TRUST LOCATED IN MARYLAND OR ANY
OTHER STATE COVERING MARYLAND RESIDENTS;

(5) A NONPROFIT HEALTH SERVICE PLAN THAT IS LICENSED TO
OPERATE IN THIS STATE; OR

(6) ANY OTHER PERSON OR ORGANIZATION THAT PROVIDES HEALTH
BENEFIT PLANS SUBJECT TO STATE INSURANCE REGULATION.

(C) "COMMISSION" MEANS THE HEALTH CARE BENEFIT AND DATA
COMMISSION ESTABLISHED UNDER THIS SUBTITLE.

(D) (1) "HEALTH BENEFIT PLAN" MEANS ANY:

(I) HOSPITAL OR MEDICAL POLICY OR CERTIFICATE, INCLUDING
THOSE ISSUED UNDER MULTIPLE EMPLOYER TRUSTS OR ASSOCIATIONS LOCATED
IN MARYLAND OR ANY OTHER STATE COVERING MARYLAND RESIDENTS WHO ARE
ELIGIBLE EMPLOYEES;

(II) NONPROFIT HEALTH SERVICE PLAN;

(III) HEALTH MAINTENANCE ORGANIZATION SUBSCRIBER OR
GROUP MASTER CONTRACT; OR

(IV) PLAN PROVIDED BY OR THROUGH A MULTIPLE EMPLOYER
WELFARE ARRANGEMENT, OR OTHER BENEFIT ARRANGEMENT OFFERED BY A
MULTIPLE EMPLOYER WELFARE ARRANGEMENT.

(2) "HEALTH BENEFIT PLAN" DOES NOT INCLUDE:

(I) ACCIDENT ONLY INSURANCE;

(II) FIXED INDEMNITY INSURANCE;

(III) CREDIT HEALTH INSURANCE;                           

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