Ch. 35

1997 LAWS OF MARYLAND

Similarly, in subsection (c)(3) of this section, the former phrase "with respect
to a small employer", which modified "minimum participation requirement" is
deleted.

Also in subsection (c)(3) of this section, the former reference to
"dependents", which was included in a prohibition against considering them in
applying minimum participation requirements, is deleted as unnecessary.
Minimum participation requirements only apply to eligible employees and not
to dependents.

In subsection (d) of this section, the former definition of "actuarial
certification" is consolidated into the substantive provision because the
defined term was used only once under former law.

In subsection (e)(2)(i) of this section, the reference to "information and
documentation" is substituted for the former reference to "documents and
certifications" for consistency within this subsection.

Defined terms: "Carrier" § 15-1201
"Commissioner" § 1-101
"Eligible employee" § 15-1201
"Health benefit plan" § 15-1201
"Health insurance" § 1-101
"Person" § 1-101
"Policy" § 1-101

"Preexisting condition" § 15-1201
"Premium" § 1-101
"Small employer" § 15-1201
"Standard Plan" § 15-1201

15-1207. COMPREHENSIVE STANDARD HEALTH BENEFIT PLAN.

(A) IN GENERAL.

THE COMMISSION SHALL ADOPT REGULATIONS THAT SPECIFY THE
COMPREHENSIVE STANDARD HEALTH BENEFIT PLAN TO APPLY UNDER THIS
SUBTITLE, IN ACCORDANCE WITH TITLE 19, SUBTITLE 15 OF THE HEALTH - GENERAL
ARTICLE.

(B) MINIMUM BENEFITS.

THE COMMISSION SHALL REQUIRE THAT THE MINIMUM BENEFITS ALLOWED
TO BE OFFERED IN THE STANDARD PLAN:

(1) BY A HEALTH MAINTENANCE ORGANIZATION, SHALL INCLUDE AT
LEAST THE ACTUARIAL EQUIVALENT OF THE MINIMUM BENEFITS REQUIRED TO BE
OFFERED BY A FEDERALLY QUALIFIED HEALTH MAINTENANCE ORGANIZATION;
AND

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