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Session Laws, 1995
Volume 793, Page 2907   View pdf image
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PARRIS N. GLENDENING, Governor

Ch. 501

[(2)](4) If the federal Employee Retirement Income Security Act is
amended to exclude employee groups under a specific size, notwithstanding paragraph
(1)(I) of this subsection, this subtitle shall apply to any employee group size that is
excluded from that federal Act.

[(3)](5) In determining the number of eligible employees WHO MEET THE
REQUIREMENTS UNDER PARAGRAPH (1)(I) OF THIS SUBSECTION, companies which
are affiliated companies or which are eligible to file a consolidated federal income tax
return shall be considered one employer.

(6) IN DETERMINING THE NUMBER OF ELIGIBLE EMPLOYEES WHO
MEET THE REQUIREMENTS UNDER PARAGRAPH (1)(I) OF THIS SUBSECTION, AN
EMPLOYEE MAY NOT BE COUNTED WHO:

(I)     IS OTHERWISE COVERED UNDER A PUBLIC OR PRIVATE
HEALTH INSURANCE PLAN OR OTHER HEALTH BENEFIT ARRANGEMENT; OR

(II)    IS A PART-TIME EMPLOYEE.

(7) NOTWITHSTANDING THE PROVISIONS OF PARAGRAPH (1)(I) OF THIS
SUBSECTION, IN OTHERWISE SATISFYING THE REQUIREMENTS OF PARAGRAPH (1)(I)
OF THIS SUBSECTION, A SMALL EMPLOYER THAT DID NOT EXIST DURING THE
PRECEDING CALENDAR YEAR SHALL, DURING ITS FIRST YEAR, EMPLOY ON AT
LEAST 50 PERCENT OF ITS WORKING DAYS AT LEAST TWO BUT NO MORE THAN 50
ELIGIBLE EMPLOYEES.

699.

(C) IN ADDITION TO THE PROVISIONS OF SUBSECTION (B) OF THIS SECTION, A
CARRIER MAY OFFER DENTAL CARE AND SERVICES AS AN ADDITIONAL BENEFIT.

701.

(a) (1) [Until December 31, 1994, carriers may limit coverage under any health
benefit plan under a preexisting condition provision, but only for a period not exceeding
6 months from the effective date of coverage for any enrollee, for any preexisting
condition that existed within the 6 months preceding the date of coverage for the enrollee
under the health benefit plan.

(2) In determining the length of time that a preexisting condition provision
applies to an eligible employee or dependent, a health benefit plan shall credit the time
the individual was previously covered by public or private health insurance or by another
health benefit arrangement. An individual' is deemed to have been previously covered if:

(i) An interruption of no more than 60 days had occurred from the
time the individual was covered by any public or private health insurance or by another
health benefit arrangement until the effective date of the new coverage; or

(ii) An interruption of no more than 60 days had occurred from the
time the individual was covered by any public or private health insurance or by another
health benefit arrangement until the individual became an eligible employee who elected
to enroll but against whom the employer imposed a waiting period prior to enrollment.

- 2907 -

 

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Session Laws, 1995
Volume 793, Page 2907   View pdf image
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