PARRIS N. GLENDENING, Governor

Ch. 294

762.

(A) IN DETERMINING A PERIOD OF CREDITABLE COVERAGE, ANY PERIOD
THAT AN INDIVIDUAL IS IN A WAITING PERIOD FOR COVERAGE UNDER A GROUP
HEALTH BENEFIT PLAN OR AN AFFILIATION PERIOD MAY NOT BE TAKEN INTO
ACCOUNT IN DETERMINING ANY PERIOD OF CONTINUOUS CREDITABLE COVERAGE.

(B) A CARRIER SHALL COUNT A PERIOD OF CREDITABLE COVERAGE
WITHOUT REGARD TO THE SPECIFIC BENEFITS COVERED DURING THE PERIOD.

763.

A CARRIER THAT ELECTS TO OFFER A HIGH LEVEL AND LOW LEVEL POLICY
FORM UNDER § 757 OF THIS SUBTITLE MAY NOT CHARGE A RATE TO ELIGIBLE
INDIVIDUALS THAT IS GREATER THAN 200% OF THE RATE THE CARRIER NORMALLY
WOULD CHARGE FOR THE SAME OR SIMILAR POLICY FORMS TO OTHER
INDIVIDUALS.

60. MARYLAND HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT —
LARGE GROUP MARKET REFORMS

764.

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

(B) "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.

(C) "ASSOCIATION" OR "BONA FIDE ASSOCIATION" MEANS, WITH RESPECT TO
HEALTH INSURANCE COVERAGE OFFERED IN THIS STATE, AN ASSOCIATION THAT:

(1) HAS BEEN ACTIVELY IN EXISTENCE FOR AT LEAST 5 YEARS;

(2) HAS BEEN FORMED AND MAINTAINED IN GOOD FAITH FOR
PURPOSES OTHER THAN OBTAINING INSURANCE AND DOES NOT CONDITION
MEMBERSHIP ON THE PURCHASE OF ASSOCIATION-SPONSORED INSURANCE;

(3) DOES NOT CONDITION MEMBERSHIP IN THE ASSOCIATION ON ANY
HEALTH STATUS-RELATED FACTOR RELATING TO AN INDIVIDUAL, AND STATES SO
CLEARLY IN ALL MEMBERSHIP AND APPLICATION MATERIALS;

(4) MAKES HEALTH INSURANCE COVERAGE OFFERED THROUGH THE
ASSOCIATION AVAILABLE TO ALL MEMBERS REGARDLESS OF ANY HEALTH
STATUS-RELATED FACTOR RELATING TO THE MEMBERS OR INDIVIDUALS ELIGIBLE
FOR COVERAGE THROUGH A MEMBER AND STATES SO CLEARLY IN ALL
MEMBERSHIP AND APPLICATION MATERIALS;

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