PARRIS N. GLENDENING, Governor

Ch. 294

(1) RELATES TO A CONDITION, REGARDLESS OF THE CAUSE OF THE
CONDITION, FOR WHICH MEDICAL ADVICE, DIAGNOSIS, CARE, OR TREATMENT WAS
RECOMMENDED OR RECEIVED WITHIN THE 6-MONTH PERIOD ENDING ON THE
ENROLLMENT DATE;

(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 14 OF THIS TITLE

(DJ (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
PROVISIONS 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

15-1202.

(A) This subtitle applies only to a health benefit plan that:

(1) covers eligible employees of small employers in the State; and

(2) is issued or renewed on or after July 1, 1994, if:

(i) any part of the premium or benefits is paid by or on behalf of the

small employer;

(ii) any eligible employee or dependent is reimbursed, through wage
adjustments or otherwise, by or on behalf of the small employer for any part of the
premium;

(iii) the health benefit plan is treated by the employer or any eligible
employee or dependent as part of a plan or program under the United States Internal
Revenue Code, 26 U.S.C. § 106, § 125, or § 162; or

(iv) the small employer allows eligible employees to pay for the health
benefit plan through payroll deductions.

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