PARRIS N. GLENDENING, Governor

Ch. 35

REVISOR'S NOTE: This section is new language derived without substantive
change from former Art. 48A, § 438A.

In subsection (b)(l)(i)l, (ii)1, and (iii)1 of this section, the former phrase
"[o]n or after October 1, 1993" is deleted as obsolete.

In subsection (b)(1)(ii)3 of this section, the reference to coverage for a "family
member" is substituted for the former reference to coverage for "dependents"
for consistency throughout this subsection.

In subsection (b)(1)(iii) of this section, the former reference to an indemnity
"type" contract is deleted as surplusage.

In subsection (b)(2) of this section, the former phrase "as to such family
members' coverage" is deleted as surplusage.

In subsections (c), (d), and (h)(1) and (2) of this section, the references to a
"nonprofit health service plan" are added in light of former Art. 48A, §
438A(a)(3), which provided that the term "insurer" included a nonprofit
health service plan.

In subsection (c) of this section, the former introductory phrase "[f]or the
purpose of coverage under this section" is deleted as surplusage.

In subsection (h)(1) of this section, the reference to the "subscriber" is added
to clarify that this provision applies to subscribers of contracts issued by
nonprofit health service plans. See, e.g., § 15-403(d)(1) of this subtitle.

In subsection (h)(2) of this section, the introductory phrase "[i]f the insurer or
nonprofit health service plan requires proof under this subsection" is added to
clarify that an insurer or nonprofit health service plan need not require proof
that an insured is the parent or grandparent of a newly born or newly adopted
child, but if the insurer or nonprofit health service plan so requires, it must
pay the cost of the proof.

Defined terms: "Health insurance" § 1-101
"Insurer" § 1-101
"Policy" § 1-101
"Premium" § 1-101

15-402. COVERAGE FOR UNMARRIED DEPENDENT INCAPACITATED CHILDREN AND
GRANDCHILDREN.

(A) SCOPE OF SECTION.

THIS SECTION APPLIES TO:

(1) EACH INDIVIDUAL OR GROUP HEALTH INSURANCE POLICY THAT IS
ISSUED IN THE STATE; AND

(2) EACH CONTRACT THAT IS ISSUED IN THE STATE BY A NONPROFIT
HEALTH SERVICE PLAN.

- 1005 -