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Session Laws, 1997
Volume 795, Page 1092   View pdf image
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Ch. 35

1997 LAWS OF MARYLAND

OR NONPROFIT HEALTH SERVICE PLAN TO PROVIDE SERVICES TO THE INSURER'S
OR NONPROFIT HEALTH SERVICE PLAN'S INSUREDS NEED NOT COMPLY WITH
SUBSECTION (D) OF THIS SECTION.

(F) DEDUCTIBLE PROHIBITED.

(1) A POLICY OR PLAN SUBJECT TO THIS SECTION MAY NOT IMPOSE A
DEDUCTIBLE ON THE COVERAGE REQUIRED UNDER THIS SECTION.

(2) EACH HEALTH INSURANCE POLICY AND CERTIFICATE SHALL
CONTAIN A NOTICE OF THE PROHIBITION ESTABLISHED BY PARAGRAPH (1) OF THIS
SUBSECTION IN A FORM APPROVED BY THE COMMISSIONER.

REVISOR'S NOTE: This section is new language derived without substantive
change from former Art. 48A, §§ 354KK, 470AA, and 477KK.

In the introductory language of subsection (b) of this section, the reference to
each "individual" hospital or major medical insurance policy is added to clarify
the applicability of this section.

In the introductory language of subsection (d) of this section, the reference to
an "insurer or nonprofit health service plan that issues a policy subject to this
section" is substituted for the former references to a "nonprofit health service
plan", a "hospital or major medical insurance policy", and a "group or blanket
health insurance policy" to clarify that it is the entity issuing a policy that
receives notice of the insured's pregnancy and takes the actions required by
subsection (d) of this section.

In subsection (d)(2) of this section, the reference to "health care" providers is
added for clarity and consistency with subsection (e) of this section.

Also in subsection (d)(2) of this section, the reference to the "expected
newborn" is substituted for the former references to the "child" for
consistency with subsection (d)(1) of this section.

In subsection (e) of this section, the former references to a "hospital or major
medical" insurer and a "group or blanket health" insurer are deleted as
unnecessary in light of the reference in subsection (d) of this section to an
insurer "that issues a policy or plan subject to this section" and subsection (b)
of this section.

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

15-818. BENEFITS FOR TREATMENT OF CLEFT LIP AND CLEFT PALATE.
(A) SCOPE OF SECTION.
THIS SECTION APPLIES TO:

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Session Laws, 1997
Volume 795, Page 1092   View pdf image
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