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Session Laws, 1993
Volume 772, Page 568   View pdf image
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Ch. 9                                             1993 LAWS OF MARYLAND

(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 THE STATE; OR

         (6) ANY OTHER PERSON OR ORGANIZATION THAT PROVIDES HEALTH

BENEFIT PLANS SUBJECT TO STATE INSURANCE REGULATION.

(D) (E) "COMMISSION" MEANS THE MEDICAL CARE DATA REVIEW
MARYLAND HEALTH CARE ACCESS AND COST COMMISSION ESTABLISHED UNDER
TITLE 19, SUBTITLE 15 OF THE HEALTH - GENERAL ARTICLE.

(E) (F) "COMPREHENSIVE STANDARD HEALTH BENEFIT PLAN" MEANS THE
HEALTH BENEFIT PLAN ADOPTED BY THE COMMISSION IN ACCORDANCE WITH § 700
OF THIS SUBTITLE AND TITLE 19, SUBTITLE 15 OF THE HEALTH - GENERAL ARTICLE.

(F) (G) (1) "ELIGIBLE EMPLOYEE" MEANS AN EMPLOYEE WHO WORKS ON
A FULL-TIME BASIS AND HAS A NORMAL WORKWEEK OF 30 OR MORE HOURS AND IS
NOT COVERED UNDER A PUBLIC OR PRIVATE HEALTH INSURANCE PLAN OR OTHER
HEALTH BENEFIT ARRANGEMENT.

(2) "ELIGIBLE EMPLOYEE" INCLUDES A SOLE PROPRIETOR, A PARTNER
OF A PARTNERSHIP, OR AN INDEPENDENT CONTRACTOR WHO IS INCLUDED AS AN
EMPLOYEE UNDER A HEALTH BENEFIT PLAN UNDER THIS SUBTITLE.

(3) "ELIGIBLE EMPLOYEE" DOES NOT INCLUDE AN INDIVIDUAL WHO
WORKS ON A TEMPORARY OR SUBSTITUTE BASIS OR FOR FEWER THAN 30 HOURS IN
A WORKWEEK:

(G) (H) (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;

- 568 -

 

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Session Laws, 1993
Volume 772, Page 568   View pdf image
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