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Session Laws, 1997
Volume 795, Page 1421   View pdf image
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PARRIS N. GLENDENING, Governor

Ch. 70

(iii) A third party administrator registered under [Article 48A of the
Code] THE INSURANCE ARTICLE.

(3) "Uniform claims form" means the claim or billing form for
reimbursement of hospital services adopted by the Insurance Commissioner under [§
490P of Article 48A of the Code] § 15-1003 OF THE INSURANCE ARTICLE.

19-3B-01.

(i) "Payor" means:

(1) A health insurer, nonprofit health service plan, or health maintenance
organization that holds a certificate of authority to offer health insurance policies or
contracts in the State in accordance with this article or [Article 48A of the Code] THE
INSURANCE ARTICLE;

19-703.

(d) Health maintenance organizations shall provide continuation coverage
required under [Article 48A, §§ 490G, 490H, and 490-1 of the Code] §§ 15-407
THROUGH 15-409 OF THE INSURANCE ARTICLE.

(e) (1) Notwithstanding any other provision of this subtitle, a health
maintenance organization may offer a benefit package that provides at a minimum
benefits required by [Article 48A, § 490-O of the Code] FORMER ARTICLE 48A, § 490-O
for a limited benefits policy.

(2) A benefit package offered under paragraph (1) of this subsection shall:

(ii) Satisfy the requirements of [Article 48A, § 490-O of the Code]
FORMER ARTICLE 48A, § 490-O.

19-706.

(b) (1) Any health maintenance organization that is regulated by [ Article 48A,
Subtitle 20, Nonprofit Health Service Plans, of the Code] TITLE 14, SUBTITLE 1 OF THE
INSURANCE ARTICLE is subject also to this subtitle.

(2) This subsection applies to a corporation described in [ Article 48A,
Subtitle 20, Nonprofit Health Service Plans, of the Code] TITLE 14, SUBTITLE 1 OF THE
INSURANCE ARTICLE, but only if it is a health maintenance organization.

(d) (1) The provisions of [Article 48A, § 58A of the Code and Article 48A,
Subtitles 9A and 11] § 9-231 AND TITLE 9, SUBTITLE 1 AND TITLE 10, SUBTITLE 1 OF
THE INSURANCE ARTICLE shall apply to health maintenance organizations.

(2) The provisions of [Article 48A, § 490GG of the Code] § 15-815 OF THE
INSURANCE ARTICLE shall apply to health maintenance organizations.

(e) A health maintenance organization which enrolls members eligible for
Medicare benefits under Title XVIII of the Social Security Act shall be subject to the
requirements of [Article 48A, §§ 468B through 468GB of the Medicare Supplement and
Specified Disease Act] TITLE 15, SUBTITLE 9 OF THE INSURANCE ARTICLE, to the

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Session Laws, 1997
Volume 795, Page 1421   View pdf image
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