Ch. 35

1997 LAWS OF MARYLAND

In subsection (b)(1) of this section, the former reference to "required"
premiums is deleted as implicit since premiums are required to be paid under
a contract for health benefits.

In subsection (b)(3) of this section, the former word "other", which seemed to
limit the reference to "reasonable provisions" the noncompliance of which
would result in cancellation, is deleted as misleading. Only item (3) in the
enumerated list refers to "reasonable provisions ... approved by the
Commissioner".

Defined terms: "Carrier" § 15-1201
"Commissioner" § 1-101
"Eligible employee" § 15-1201
"Health benefit plan" § 15-1201
"Insurance" § 1-101
"Premium" § 1-101
"Small employer" § 15-1201
"State" § 1-101

15-1213. BENEFITS ADDITIONAL TO STANDARD PLAN.

(A) SCOPE OF SECTION.

THIS SECTION DOES NOT APPLY TO ANY INSURANCE ENUMERATED IN §
15-I20l(F)(3)(I) THROUGH (XIII) OF THIS SUBTITLE.

(B) INCREASE IN ACCESS OR DECREASE IN COST-SHARING.

EACH BENEFIT OFFERED IN ADDITION TO THE STANDARD PLAN THAT
INCREASES ACCESS TO CARE CHOICES OR LOWERS THE COST-SHARING
ARRANGEMENT IN THE STANDARD PLAN IS SUBJECT TO ALL OF THE PROVISIONS OF
THIS SUBTITLE APPLICABLE TO THE STANDARD PLAN, INCLUDING:

(1) GUARANTEED ISSUANCE;

(2) GUARANTEED RENEWAL:

(3) ADJUSTED COMMUNITY RATING; AND

(4) THE PROHIBITION ON PREEXISTING CONDITION LIMITATIONS.

(C) INCREASE IN TYPE OR FREQUENCY OF SERVICES.

(1) EACH BENEFIT OFFERED IN ADDITION TO THE STANDARD PLAN
THAT INCREASES THE TYPE OF SERVICES AVAILABLE OR THE FREQUENCY OF
SERVICES IS NOT SUBJECT TO GUARANTEED ISSUANCE BUT IS SUBJECT TO ALL
OTHER PROVISIONS OF THIS SUBTITLE APPLICABLE TO THE STANDARD PLAN,
INCLUDING:

(I) GUARANTEED RENEWAL;

(II) ADJUSTED COMMUNITY RATING; AND

(III) THE PROHIBITION ON PREEXISTING CONDITION LIMITATIONS.

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