WILLIAM DONALD SCHAEFER, Governor                        H.B. 1563

(IV) MEDICARE SUPPLEMENT POLICIES;

(V) LONG-TERM CARE INSURANCE;

(VI) DISABILITY INCOME INSURANCE;

(VII) COVERAGE ISSUED AS A SUPPLEMENT TO LIABILITY
INSURANCE;

(VIII) WORKERS' COMPENSATION OR SIMILAR INSURANCE;

(IX) DISEASE SPECIFIC INSURANCE;

(X) AUTOMOBILE MEDICAL PAYMENT INSURANCE;

(XI) DENTAL INSURANCE; OR

(XII) VISION INSURANCE.

(I) (1) "LATE ENROLLEE" MEANS AN ELIGIBLE EMPLOYEE, DEPENDENT OF
AN ELIGIBLE EMPLOYEE, AN INDIVIDUAL, OR A DEPENDENT OF AN INDIVIDUAL
WHO REQUESTS ENROLLMENT IN A HEALTH BENEFIT PLAN UNDER THIS SUBTITLE
FOLLOWING THE INITIAL ENROLLMENT PERIOD PROVIDED UNDER THE TERMS OF
THE HEALTH BENEFIT PLAN.

(2) AN ELIGIBLE EMPLOYEE, DEPENDENT OF AN ELIGIBLE EMPLOYEE,
INDIVIDUAL, OR A DEPENDENT OF AN INDIVIDUAL MAY NOT BE CONSIDERED A
LATE ENROLLEE IF:

(I) THE ELIGIBLE EMPLOYEE OR DEPENDENT REQUESTS
ENROLLMENT WITHIN 30 DAYS OF THE ELIGIBLE EMPLOYEE BECOMING AN
ELIGIBLE EMPLOYEE OR THE INDIVIDUAL REQUESTS ENROLLMENT WITHIN 30 DAYS
OF BECOMING A RESIDENT OF THE REGIONAL AREA;

(II) A COURT HAS ORDERED COVERAGE TO BE PROVIDED FOR A
SPOUSE OR MINOR CHILD UNDER A COVERED EMPLOYEE'S OR INDIVIDUAL'S
HEALTH BENEFIT PLAN; OR

(III) A REQUEST FOR ENROLLMENT IS MADE WITHIN 30 DAYS
AFTER THE ELIGIBLE EMPLOYEE'S OR 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 POLICY ISSUED OR DELIVERED
IN THE STATE BY A CARRIER.

(2) "MANDATED BENEFIT" INCLUDES A STATUTE THAT WOULD
REQUIRE A POLICY 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 OCCUPATIONS ARTICLE AND
WHOSE SCOPE OF PRACTICE INCLUDES THAT SERVICE.

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