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Session Laws, 1997
Volume 795, Page 1029   View pdf image
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PARRIS N. GLENDENING, Governor

Ch. 35

INSURANCE CONTRACT OR POLICY BECAUSE OF THE INVOLUNTARY TERMINATION
OF THE SPOUSE'S EMPLOYMENT OTHER THAN FOR CAUSE.

(B) EVIDENCE OF INSURABILITY NOT REQUIRED.

A GROUP HEALTH INSURANCE CONTRACT OR POLICY MAY NOT REQUIRE
EVIDENCE OF INSURABILITY FOR A SPOUSE WHO QUALIFIES FOR GROUP HEALTH
INSURANCE COVERAGE UNDER THIS SECTION,

(C) TIME OF NOTICE TO EMPLOYER.

A MARRIED EMPLOYEE WHO WISHES TO ALTER THE TERMS OF THE
EMPLOYEE'S COVERAGE UNDER THIS SECTION SHALL NOTIFY THE EMPLOYER
WITHIN 6 MONTHS AFTER THE DATE ON WHICH THE COVERAGE OF THE
EMPLOYEE'S SPOUSE UNDER ANOTHER GROUP HEALTH INSURANCE CONTRACT OR
POLICY TERMINATES.

REVISOR'S NOTE: This section is new language derived without substantive
change from former Art. 48A, §§ 354AA and 472A.

In subsection (a) of this section, the reference to a contract or policy that "is
issued by an insurer or nonprofit health service plan" is added to clarify the
applicability of this provision.

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

15-412. CONVERSION FROM GROUP TO INDIVIDUAL POLICY — GROUP HEALTH
INSURANCE POLICIES.

(A) "INSURED INDIVIDUAL" DEFINED.

IN THIS SECTION, "INSURED INDIVIDUAL" INCLUDES:

(1) AN EMPLOYEE OR MEMBER WHO IS COVERED UNDER A GROUP
POLICY; AND

(2) AN ELIGIBLE DEPENDENT OF AN EMPLOYEE OR MEMBER WHO IS
COVERED UNDER A GROUP POLICY.

(B) SCOPE OF SECTION.

(1) THIS SECTION APPLIES TO:

(I) EACH GROUP INSURANCE POLICY THAT INSURES EMPLOYEES
OR MEMBERS FOR HOSPITAL, SURGICAL, OR MAJOR MEDICAL INSURANCE ON AN
EXPENSE-INCURRED OR SERVICE BASIS, OTHER THAN A POLICY THAT PROVIDES
COVERAGE ONLY FOR SPECIFIC DISEASES OR FOR ACCIDENTAL INJURIES; AND

(II) EACH GROUP INSURANCE POLICY THAT IS DELIVERED OR
ISSUED FOR DELIVERY IN THE STATE BY A NONPROFIT HEALTH SERVICE PLAN AND
THAT INSURES EMPLOYEES OR MEMBERS AND THEIR DEPENDENTS FOR HOSPITAL,
MEDICAL, MAJOR MEDICAL, OR SURGICAL INSURANCE ON AN EXPENSE-INCURRED

- 1029 -

 

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Session Laws, 1997
Volume 795, Page 1029   View pdf image
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