Ch. 294 1997 LAWS OF MARYLAND

2. HOSPITAL INDEMNITY OR OTHER FIXED INDEMNITY

INSURANCE: OR

(IV) THE FOLLOWING BENEFITS IF OFFERED AS A SEPARATE
INSURANCE POLICY:

1. MEDICARE SUPPLEMENTAL HEALTH INSURANCE (AS
DEFINED UNDER § 1882(G)(1) OF THE SOCIAL SECURITY ACT);

2. COVERAGE SUPPLEMENTAL TO THE COVERAGE
PROVIDED UNDER CHAPTER 55 OF TITLE 10, UNITED STATES CODE; AND

3. SIMILAR SUPPLEMENTAL COVERAGE PROVIDED TO
COVERAGE UNDER AN EMPLOYER SPONSORED PLAN.

(M) "HEALTH STATUS-RELATED FACTOR" MEANS A FACTOR RELATED TO:

(1) HEALTH STATUS;

(2) MEDICAL CONDITION;

(3) CLAIMS EXPERIENCE;

(4) RECEIPT OF HEALTH CARE;

(5) MEDICAL HISTORY;

(6) GENETIC INFORMATION;

(7) EVIDENCE OF INSURABILITY INCLUDING CONDITIONS ARISING OUT
OF ACTS OF DOMESTIC VIOLENCE; OR

(8) DISABILITY.

(N) "HIGH LEVEL POLICY FORM" MEANS A POLICY OR PLAN UNDER WHICH
THE ACTUARIAL VALUE OF THE BENEFIT UNDER THE COVERAGE IS:

(1) AT LEAST 15% GREATER THAN THE ACTUARIAL VALUE OF THE LOW
LEVEL POLICY FORM COVERAGE OFFERED BY THE CARRIER IN THIS STATE; AND

(2) AT LEAST 100% BUT NOT GREATER THAN 120% OF THE WEIGHTED

AVERAGE

(O) (1) "INDIVIDUAL HEALTH BENEFIT PLAN" MEANS:

(1) (I) A HEALTH BENEFIT PLAN OTHER THAN A CONVERTED POLICY
OR A PROFESSIONAL ASSOCIATION PLAN FOR ELIGIBLE INDIVIDUALS AND THEIR
DEPENDENTS; AND

(2) (II) A CERTIFICATE ISSUED TO AN ELIGIBLE INDIVIDUAL THAT
EVIDENCES COVERAGE UNDER A POLICY OR CONTRACT ISSUED TO A TRUST OR
ASSOCIATION OR OTHER SIMILAR GROUP OF INDIVIDUALS, REGARDLESS OF THE
SITUS OF DELIVERY OF THE POLICY OR CONTRACT, IF THE ELIGIBLE INDIVIDUAL

- 2168 -