|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
PARRIS N. GLENDENING, Governor
|
|
|
|
|
|
Ch. 320
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(III) A HEALTH MAINTENANCE ORGANIZATION;
(IV) A DENTAL PLAN ORGANIZATION; OR
(V) ANY OTHER PERSON THAT PROVIDES HEALTH BENEFIT PLANS
SUBJECT TO REGULATION BY THE STATE.
(3) "SAAC PRODUCT" HAS THE MEANING STATED IN § 15-6A-01 OF THIS
TITLE.
(B) THIS SECTION APPLIES TO CARRIERS THAT OFFER MEDICALLY
UNDERWRITTEN HEALTH INSURANCE IN THE NONGROUP MARKET IN THE STATE.
(C) (1) A CARRIER SUBJECT TO THIS SECTION THAT SENDS A LETTER OF
DECLINATION TO AN APPLICANT FOR MEDICALLY UNDERWRITTEN HEALTH
INSURANCE IN THE NONGROUP MARKET SHALL SEND TO THE APPLICANT
INFORMATION ABOUT THE AVAILABILITY OF SAAC PRODUCTS IN THE NONGROUP
MARKET.
(2) THE INFORMATION SHALL BE IN THE FORM, AND SHALL BE SENT IN
THE MANNER, THAT THE COMMISSIONER REQUIRES.
SUBTITLE 6A. SUBSTANTIAL, AVAILABLE, AND AFFORDABLE COVERAGE PRODUCTS.
15-6A-01.
(A) IN THIS SUBTITLE THE FOLLOWING WORDS HAVE THE MEANINGS
INDICATED.
(B) "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.
(C) "COMMISSION" MEANS THE STATE HEALTH SERVICES COST REVIEW
COMMISSION.
(D) "SUBSTANTIAL, AVAILABLE, AND AFFORDABLE COVERAGE PRODUCT" OR
"SAAC PRODUCT" MEANS A HEALTH BENEFIT PLAN THAT:
(1) IS OFFERED IN THE NONGROUP MARKET;
(2) IS OFFERED ON AN OPEN ENROLLMENT BASIS;
(3) INCLUDES BENEFITS IN ACCORDANCE WITH THE PLAN
ESTABLISHED UNDER § 15-6A-01 OF THIS SUBTITLE; AND
|
|
|
|
|
|
|
|
|
|
- 1913 -
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
 |
