clear space clear space clear space white space
A
 r c h i v e s   o f   M a r y l a n d   O n l i n e
  Maryland State Archives | Index | Help | Search search for:
clear space
white space
Session Laws, 1999
Volume 796, Page 3761   View pdf image
 Jump to  
  << PREVIOUS  NEXT >>
clear space clear space clear space white space

(6) "SMALL EMPLOYER" HAS THE MEANING STATED IN § 15-1201(M) OF
THIS TITLE.

(7) (5) "SPECIFIC ATTACHMENT POINT" MEANS THE DOLLAR AMOUNT
FOR A IN LOSSES ATTRIBUTABLE TO A SINGLE INDIVIDUAL BENEFICIARY SINGLE
LOSS IN A POLICY YEAR ABOVE BEYOND WHICH THE STOP-LOSS INSURER ASSUMES
ALL OR PART OF THE LIABILITY FOR BENEFITS PAYABLE LOSSES INCURRED BY THE
HEALTH PLAN INSURED.

(8) (6) "STOP-LOSS INSURANCE" MEANS INSURANCE PROVIDED TO AN
EMPLOYER, OR TRUSTEE OR ASSOCIATION ON BEHALF OF AN EMPLOYER, AGAINST
LIABILITY FOR BENEFITS PAYABLE BY A HEALTH PLAN
THAT IS PURCHASED BY A
PERSON, OTHER THAN A HEALTH CARE PROVIDER, TO PROTECT THE PERSON
AGAINST CATASTROPHIC, EXCESS, OR UNEXPECTED LOSSES SUSTAINED BY THE
PERSON.

(B) THIS SECTION APPLIES TO EACH STOP-LOSS INSURANCE POLICY OR
CONTRACT THAT IS DELIVERED OR ISSUED FOR DELIVERY IN THE STATE TO A SMALL
EMPLOYER
.

(C) AN INSURER MAY NOT ISSUE, DELIVER OR OFFER A POLICY OR CONTRACT
SUBJECT TO THIS SECTION MAY NOT HAVE OF STOP-LOSS INSURANCE, IF THE
POLICY HAS:

(1) A SPECIFIC ATTACHMENT POINT OF LESS THAN $10,000; OR

(2) AN AGGREGATE ATTACHMENT POINT OF LESS THAN 115% OF
EXPECTED CLAIMS.

(D) AN INSURER WHO OFFERS OR ISSUES A STOP-LOSS INSURANCE POLICY
THAT DOES NOT MEET THE REQUIREMENTS OF THIS SECTION SHALL BE SUBJECT TO
THE SANCTIONS SET FORTH IN § 4-113 OF THIS ARTICLE FOR AUTHORIZED INSURERS
AND § 4-212 OF THIS ARTICLE FOR UNAUTHORIZED INSURERS.

(E) NOTHING IN THIS SECTION SHALL BE CONSTRUED AS:

(1) IMPOSING ANY REQUIREMENT OR DUTY ON ANY PERSON OTHER
THAN AN INSURER; OR

(2) TREATING ANY STOP-LOSS POLICY AS A DIRECT POLICY OF HEALTH
INSURANCE.

SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect
June 1, 1999.

 

clear space
clear space
white space

Please view image to verify text. To report an error, please contact us.
Session Laws, 1999
Volume 796, Page 3761   View pdf image
 Jump to  
  << PREVIOUS  NEXT >>


This web site is presented for reference purposes under the doctrine of fair use. When this material is used, in whole or in part, proper citation and credit must be attributed to the Maryland State Archives. PLEASE NOTE: The site may contain material from other sources which may be under copyright. Rights assessment, and full originating source citation, is the responsibility of the user.


Tell Us What You Think About the Maryland State Archives Website!



An Archives of Maryland electronic publication.
For information contact msa.helpdesk@maryland.gov.

©Copyright  October 11, 2023
Maryland State Archives