Ch. 294

1997 LAWS OF MARYLAND

(2) EXTENDS FOR A PERIOD OF NOT MORE THAN 12 MONTHS AFTER
THE ENROLLMENT DATE OR 18 MONTHS IN THE CASE OF A LATE ENROLLEE; AND

(3) IS REDUCED BY THE AGGREGATE OF THE PERIODS OF CREDITABLE
COVERAGE, AS DEFINED IN SUBTITLE 60 OF THIS ARTICLE

(J) (1) SUBJECT TO PARAGRAPH (4) OF THIS SUBSECTION, A CARRIER MAY
NOT IMPOSE ANY PREEXISTING CONDITION PROVISION ON AN INDIVIDUAL WHO, AS
OF THE LAST DAY OF THE 30-DAY PERIOD BEGINNING WITH THE DATE OF BIRTH, IS
COVERED UNDER CREDITABLE COVERAGE.

(2) SUBJECT TO PARAGRAPH (4) OF THIS SUBSECTION, A CARRIER MAY
NOT IMPOSE ANY PREEXISTING CONDITION PROVISIONS ON A CHILD WHO:

(I) IS ADOPTED OR PLACED FOR ADOPTION BEFORE ATTAINING
18 YEARS OF AGE; AND

(II) AS OF THE LAST DAY OF THE 30-DAY PERIOD BEGINNING ON
THE DATE OF ADOPTION OR PLACEMENT FOR ADOPTION, IS COVERED UNDER
CREDITABLE COVERAGE

(3) A CARRIER MAY NOT IMPOSE ANY PREEXISTING CONDITION
PROVISION RELATING TO PREGNANCY.

(4) PARAGRAPHS (1) AND (2) OF THIS SUBSECTION DO NOT APPLY TO AN
INDIVIDUAL AFTER THE END OF THE FIRST 63-DAY PERIOD DURING ALL OF WHICH
THE INDIVIDUAL WAS NOT COVERED UNDER ANY CREDITABLE COVERAGE

703.

(H) A CARRIER IS SUBJECT TO THE REQUIREMENTS OF § 766 OF THIS ARTICLE
IN CONNECTION WITH HEALTH BENEFIT PLANS ISSUED UNDER THIS SUBTITLE.

59. MARYLAND HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT —

INDIVIDUAL MARKET REFORMS

752

(A) IN THIS SUBTITLE THE FOLLOWING WORDS HAVE THE MEANINGS
INDICATED.

(B) "ACTUARIAL CERTIFICATION" MEANS A WRITTEN STATEMENT IN A FORM
APPROVED BY THE COMMISSIONER, SIGNED BY A MEMBER OF THE AMERICAN
ACADEMY OF ACTUARIES OR OTHER INDIVIDUAL ACCEPTABLE TO THE
COMMISSIONER THAT A CARRIER IS IN COMPLIANCE WITH THE PROVISIONS OF THIS
SUBTITLE.

(C) "AFFILIATION PERIOD" MEANS A PERIOD OF TIME BEGINNING ON THE
DATE OF ENROLLMENT AND NOT TO EXCEED 2 MONTHS, OR 3 MONTHS IN THE CASE
OF A LATE ENROLLEE, DURING WHICH A HEALTH MAINTENANCE ORGANIZATION
DOES NOT COLLECT PREMIUM, AND COVERAGE ISSUED DOES NOT BECOME
EFFECTIVE

- 2142 -