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Session Laws, 2000
Volume 797, Page 1650   View pdf image
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Ch. 279 2000 LAWS OF MARYLAND
(1997 Volume and 1999 Supplement) SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That the Laws of Maryland read as follows: Article - Insurance 15-112. (a) (1) In this section the following words have the meanings indicated. (2) (i) "Carrier" means: 1. an insurer; 2. a nonprofit health service plan; 3. a health maintenance organization; 4. a dental plan organization; or 5. any other person that provides health benefit plans
subject to regulation by the State. (ii) "Carrier" includes an entity that arranges a provider panel for a carrier. (3) "Enrollee" means a person entitled to health care benefits from a carrier. (4) "Provider" means a health care practitioner or group of health care
practitioners licensed, certified, or otherwise authorized by law to provide health care
services. (5) (i) "Provider panel" means the providers that CONTRACT EITHER
DIRECTLY OR THROUGH A SUBCONTRACTING ENTITY WITH A CARRIER TO contract
with a carrier to provide health care services to the carrier's enrollees under the
carrier's health benefit plan. (ii) "Provider panel" does not include an arrangement in which any
provider may participate solely by contracting with the carrier to provide health care
services at a discounted fee-for-service rate. (j) [(1) (I) A carrier shall provide MAKE AVAILABLE to prospective
enrollees before enrollment and to existing enrollees at least once a year THE TIME OF
INITIAL ENROLLMENT AND EACH RENEWAL PROVIDE TO AN ENROLLEE AT THE TIME
OF INITIAL ENROLLMENT: (i) 1. (I) a PRINTED list of providers on the carrier's provider
panel, —INCLUDING A LIST OF PROVIDERS OF ANY ENTITY USED TO PROVIDE
SPECIALTY CARE; and (ii) 2. (II) PRINTED information on providers that are no longer
accepting new patients.
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Session Laws, 2000
Volume 797, Page 1650   View pdf image
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