PARRIS N. GLENDENING, Governor

S.B. 843

2.        BENEFITS FOR LONG-TERM CARE, NURSING HOME CARE,
HOME HEALTH CARE, COMMUNITY-BASED CARE, OR ANY COMBINATION OF THESE
BENEFITS; AND

3.        SUCH OTHER SIMILAR, LIMITED BENEFITS AS ARE
SPECIFIED IN FEDERAL REGULATIONS ISSUED UNDER THE FEDERAL HEALTH
INSURANCE PORTABILITY AND ACCOUNTABILITY ACT;

(III) THE FOLLOWING BENEFITS IF OFFERED AS INDEPENDENT.
NONCOORDINATED BENEFITS:

1. COVERAGE ONLY FOR A SPECIFIED DISEASE OR ILLNESS;
AND

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.

(K) "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.

(L) "LATE ENROLLEE" MEANS A MEMBER, SUBSCRIBER, OR DEPENDENT WHO
ENROLLS IN A GROUP HEALTH BENEFIT PLAN OTHER THAN DURING:

(1) THE FIRST PERIOD IN WHICH THE INDIVIDUAL IS ELIGIBLE TO
ENROLL UNDER THE PLAN; OR

(2). A SPECIAL ENROLLMENT PERIOD.

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