PARRIS N. GLENDENING, Governor

Ch. 35

THE COMMISSIONER MAY IMPOSE A PENALTY NOT EXCEEDING $1,000 FOR
EACH FAILURE TO COMPLY WITH THIS SECTION.

REVISOR'S NOTE: This section is new language derived without substantive
change from former Art. 48A, § 658.

In the introductory language of subsection (b) of this section, the reference to
a "third party" administrator is added for clarity.

Also in the introductory language of subsection (b) of this section, the former
reference to issuing, delivering, administering, or offering a preferred provider
insurance policy "or other noninsurance preferred provider arrangement" is
deleted as included in the defined term "preferred provider insurance policy".

In subsection (b)(1)(iv) of this section, the specific reference to "documents"
is substituted for the former general reference to "contracts" for clarity.

Defined terms: "Commissioner" § 1-101
"Insurer" § 1-101

"Preferred provider insurance policy" § 14-201
"Provider service contract" § 14-201

SUBTITLE 3. MARYLAND GROUP HEALTH INSURANCE PLAN.
14-301. DEFINITIONS.

(A) IN GENERAL.

IN THIS SUBTITLE THE FOLLOWING WORDS HAVE THE MEANINGS INDICATED.
REVISOR'S NOTE: This subsection formerly was Art. 48A, § 610(a).
The only changes are in style.

(B) GROUP CONTRACT.
"GROUP CONTRACT" MEANS:

(1) A CONTRACT OR POLICY THAT IS ISSUED OR DELIVERED IN THE
STATE TO AN EMPLOYER BY AN INSURER OR NONPROFIT HEALTH SERVICE PLAN
AND THAT PROVIDES GROUP HOSPITAL, MEDICAL, OR SURGICAL BENEFITS TO
EMPLOYEES OF THE EMPLOYER ON AN EXPENSE-INCURRED BASIS; OR

(2) A CONTRACT BETWEEN AN EMPLOYER AND A HEALTH
MAINTENANCE ORGANIZATION CERTIFIED UNDER TITLE 19, SUBTITLE 7 OF THE
HEALTH - GENERAL ARTICLE THAT PROVIDES GROUP HOSPITAL, MEDICAL, OR
SURGICAL BENEFITS TO EMPLOYEES OF THE EMPLOYER.

REVISOR'S NOTE: This subsection formerly was Art. 48A, § 610(b).

The only changes are in style.

Defined terms: "Policy" § 1-101
"Insurer" § 1-101

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