S.B. 843

VETOES

(M) "PREEXISTING CONDITION" MEANS:

(1) A CONDITION EXISTING DURING A SPECIFIED PERIOD

IMMEDIATELY PRECEDING THE EFFECTING: DATE OF COVERAGE THAT WOULD
HAVE CAUSED ANY ORDINARILY PRUDENT PERSON TO SEEK MEDICAL ADVICE,
DIAGNOSIS, CARE, OR TREATMENT; OR

(2) A CONDITION TOR WHICH MEDICAL ADVICE, DIAGNOSIS, CARE, OR
TREATMENT WAS RECOMMENDED OR RECEIVED DURING A SPECIFIED PERIOD
IMMEDIATELY PRECEDING THE EFFECTIVE DATE OF THIS COVERAGE A CONDITION
THAT WAS PRESENT BEFORE THE DATE OF ENROLLMENT FOR COVERAGE.
WHETHER OR NOT ANY MEDICAL ADVICE, DIAGNOSIS, CARE, OR TREATMENT WAS
RECOMMENDED OR RECEIVED BEFORE THAT DATE.

(N) "PREEXISTING CONDITION PROVISION" MEANS A PROVISION IN A
HEALTH BENEFIT PLAN THAT DENIES, EXCLUDES, OR LIMITS BENEFITS FOR AN
ENROLLEE FOR EXPENSES OR SERVICES RELATED TO A PREEXISTING CONDITION.

(O) "SECRETARY' MEANS THE SECRETARY OF THE FEDERAL DEPARTMENT
OF HEALTH AND HUMAN SERVICES.

(P) "SPECIAL ENROLLMENT PERIOD" MEANS A PERIOD DURING WHICH A
GROUP HEALTH PLAN SHALL PERMIT AN EMPLOYEE WHO IS ELIGIBLE FOR
COVERAGE, BUT NOT ENROLLED, TO ENROLL FOR COVERAGE UNDER THE TERMS
OF THE GROUP HEALTH BENEFIT PLAN.

(Q) "WAITING PERIOD" MEANS THE PERIOD OF TIME THAT MUST PASS
BEFORE AN INDIVIDUAL IS ELIGIBLE TO BE COVERED FOR BENEFITS UNDER THE
TERMS OF A GROUP HEALTH BENEFIT PLAN.

15-1402.

(A)     SUBJECT TO SUBSECTION (B) OF THIS SECTION, THIS SUBTITLE APPLIES TO
ALL CARRIERS IN CONNECTION WITH GROUP HEALTH BENEFIT PLANS.

(B)     EXCEPT AS PROVIDED IN § 15-1403 OF THIS SUBTITLE, THIS SUBTITLE
DOES NOT APPLY TO POLICIES ISSUED UNDER SUBTITLE 12 OF THIS TITLE.

15-1403.

(A)     A CARRIER SHALL PROVIDE WRITTEN CERTIFICATION OF CREDITABLE
COVERAGE IN CONNECTION WITH GROUP HEALTH BENEFIT PLANS, INCLUDING
THOSE ISSUED IN ACCORDANCE WITH SUBTITLE 12 OF THIS TITLE

(B)     THE CERTIFICATION OF CREDITABLE COVERAGE DESCRIBED IN
SUBSECTION (A) OF THIS SECTION SHALL BE PROVIDED:

(1) AUTOMATICALLY AT THE TIME AN INDIVIDUAL CEASES TO BE
COVERED UNDER THE PLAN AND WITHIN A REASONABLE PERIOD AFTER
CESSATION OF COVERAGE, AND

(2) AT THE REQUEST OF THE INDIVIDUAL, IN NO EVENT LATER THAN 24
MONTHS AFTER THE DATE OF CESSATION OF THE COVERAGE.

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