Article - Insurance

Section 15-829

Annotated Code of Maryland

(1997 Volume and 1998 Supplement)

BY adding to

Article - Health - General
Section 19-706(ff)
Annotated Code of Maryland

(1996 Replacement Volume and 1998 Supplement)

SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That the Laws of Maryland read as follows:

Article - Insurance

15-829.

(A) THIS SECTION APPLIES TO:

(1) INSURERS AND NONPROFIT HEALTH SERVICE PLANS THAT PROVIDE
HOSPITAL, MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GROUPS ON AN
EXPENSE-INCURRED BASIS UNDER HEALTH INSURANCE POLICIES OR CONTRACTS
THAT ARE ISSUED OR DELIVERED IN THE STATE; AND

(2) HEALTH MAINTENANCE ORGANIZATIONS THAT PROVIDE HOSPITAL,
MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GROUPS UNDER CONTRACTS
THAT ARE ISSUED OR DELIVERED IN THE STATE.

(B) AN ENTITY SUBJECT TO THIS SECTION SHALL PROVIDE COVERAGE FOR A
PROSTHESIS THAT HAS BEEN PRESCRIBED BY A PHYSICIAN FOR AN ENROLLEE OR
INSURED WHO HAS UNDERGONE A MASTECTOMY AND HAS NOT HAD BREAST
RECONSTRUCTION.

(C) A POLICY OR CONTRACT SUBJECT TO THIS SECTION MAY NOT IMPOSE A
DEDUCTIBLE ON THE COVERAGE REQUIRED UNDER THIS SECTION.

Article - Health - General

19-706.

(FF) THE PROVISIONS OF § 15-829 OF THE INSURANCE ARTICLE APPLY TO
HEALTH MAINTENANCE ORGANIZATIONS.

SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall apply to all
policies or contracts, contracts, and health benefit plans issued, delivered, or renewed
in the State on or after October 1, 1999. Any policy or health benefit plan in: effect
before October 1, 1999, shall comply with the provisions of this Act by October 1,
2000.

SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall take effect
October 1, 1999.