PARRIS N. GLENDENING, Governor

Ch. 35

PROGRAM, OTHER THAN THE PLAN, THAT IS PROVIDED TO A RESIDENT OF THE
STATE BY ANY PERSON, INCLUDING AN EMPLOYER, ASSOCIATION, INSURER,
NONPROFIT HEALTH SERVICE PLAN, OR HEALTH MAINTENANCE ORGANIZATION,
AND IS WRITTEN ON AN EXPENSE-INCURRED BASIS OR IS WITH A HEALTH
MAINTENANCE ORGANIZATION; OR

(2) IS A QUALIFIED BENEFICIARY WHO WOULD OTHERWISE BE
ENTITLED BY REASON OF THIS ARTICLE TO COVERAGE UNDER A GROUP CONTRACT
EXCEPT FOR:

(I) THE NONEXISTENCE OF A GROUP CONTRACT; OR

(II) THE EXPIRATION OF COVERAGE UNDER A GROUP CONTRACT
FOR THE QUALIFIED BENEFICIARY, REGARDLESS OF CONTINUED ELIGIBILITY FOR

COVERAGE.

REVISOR'S NOTE: This section is new language derived without substantive
change from former Art. 48A, §§ 612 and 610(c), (d), and (g).

The former definitions of "group plan", "member", and "termination date" in
former Art. 48A, § 610(c), (d), and (g) are merged with the provisions of
former § 612 to clarify the function of and eligibility requirements for the
Plan.

In subsection (b)(1)(i) of this section, the reference to the Secretary of
"Labor, Licensing, and Regulation" is substituted for the former obsolete
reference to the Secretary of "Economic and Employment Development" in
accordance with Ch. 120, Acts of 1995.

In subsection (b)(2) of this section, the former reference to "health" coverage
under a group contract is deleted for clarity and consistency within this section
because the coverage to be provided is for hospital, medical, and surgical
benefits.

Defined terms: "Group contract" § 14-301
"Insurer" § 1-101
"Person" § 1-101
"Plan" § 14-301
"Premium" § 1-101
"Qualified beneficiary" § 14-301

14-304. CHOICE OF UNDERWRITER.

SUBJECT TO THE PROCEDURES ESTABLISHED IN DIVISION II OF THE STATE
FINANCE AND PROCUREMENT ARTICLE, THE COMMISSIONER SHALL CHOOSE AN
AUTHORIZED INSURER TO UNDERWRITE THE PLAN.

REVISOR'S NOTE: This section formerly was Art. 48A, § 613.

The only change is in style.

Defined terms: "Authorized insurer" § 1-101
"Commissioner" § 1-101

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