Ch. 9                                        1993 LAWS OF MARYLAND

(2) An [eligible employee or dependent 7 INDIVIDUAL may not be considered a
late enrollee if:

(i)      The Individual requests enrollment [within 30 days of becoming an
eligible employee 7 IN ACCORDANCE WITH § 702A OF THIS SUBTITLE;

(ii)     A court has ordered coverage to be provided for a spouse or minor
child under a covered [employee's] INDIVIDUAL'S health benefit plan; or

(III)    A request for enrollment is made within 30 days after the [eligible
employee's] INDIVIDUAL'S marriage or the birth or adoption of a child.

(j) (1) "Mandated benefit" means a statute in this article or in the Health - General
Article that would require a particular health care service, benefit, coverage, or reimbursement
for covered health care services to be provided or offered in a health benefit plan issued or
delivered in the State by a carrier.

(2) "Mandated benefit" includes a statute that would require a health benefit
plan that provides reimbursement for a service to provide reimbursement for that service when
performed by any health care provider who is licensed under the Health - General Article and
whose scope of practice includes that service.

(k) "Pool" means the Maryland [Small Employer] Health Reinsurance Pool
established under this subtitle.

(l) "Preexisting condition " means:

(1)     A condition existing during a specified period immediately preceding the
effective date of coverage that would have caused an ordinarily prudent person to seek medical
advice, diagnosis, care, or treatment; or

(2)     A condition for which medical advice, diagnosis, care, or treatment was
recommended or received during a specified period immediately preceding the effective date of
this coverage.

(m) "Preexisting condition provision" means a provision in a health benefit plan that
denies, excludes, or limits benefits for an enrollee for expenses or services related to a
preexisting condition.

(n) "Reinsuring carrier" means a carrier participating in the pool.

(o) "Risk-assuming carrier" means a carrier not participating in the pool.

(p) (1) "[Small employer] EMPLOYER" means any person, sole proprietor, firm,
corporation, partnership, or association actively engaged in business and, on at least 50 percent
of its working days during the preceding calendar year, [employed at least two but no more
than 50 eligible employees,] the majority of [whom are 7 EMPLOYEES WERE employed
within the State. [Until January 1, 1995 carriers who do not impose preexisting condition
limitations may require that a small employer have at least three eligible employees.]

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