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S.B. 801
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VETOES
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(1) a waiting period not to exceed 90 days; or
(2) for 1 year, a surcharge not to exceed 1.5 times the community rate
established in accordance with § 15-1205 of this subtitle.
(d) For a period not to exceed 6 months after the date an individual becomes
an eligible employee, a health benefit plan may require deductibles and cost-sharing
for benefits for a preexisting condition of the eligible employee in amounts not
exceeding 1.5 times the amount of the standard deductibles and cost-sharing of other
eligible employees if:
(1) the employee was not previously covered by a public or private plan
of health insurance or another health benefit arrangement; and
(2) the employee was not previously employed by that employer.
(E) A CARRIER MAY IMPOSE A PREEXISTING CONDITION PROVISION ON AN
ELIGIBLE EMPLOYEE WHO IS A NEW ENROLLEE IF:
(1) THE SMALL EMPLOYER HAS NO MORE THAN NINE ELIGIBLE
EMPLOYEES;
(2) THE PREEXISTING CONDITION OF THE NEW ENROLLEE HAS EXISTED
FOR 6 MONTHS OR LESS; AND
(3) THE PREEXISTING CONDITION PROVISION IS IMPOSED ON THE NEW
ENROLLEE FOR A PERIOD NOT TO EXCEED 12 MONTHS.
15-1210.
(a) [(1)] A carrier that offers coverage to a small employer shall:
[(i)] (1) offer coverage to all of its eligible employees and all of
their eligible dependents;
[(ii)](2) at the election of the small employer, offer coverage to all
of its part-time employees who have a normal workweek of at least 17 1/2 but less
than 30 hours per week and have been continuously employed for at least 4
consecutive months; AND
[(iii)](3) at the election of the small employer, offer coverage to all
of its employees who are covered under another public or private plan of health
insurance or another health benefit arrangement[; and
(iv) establish an annual open enrollment period for self-employed
individuals for at least 30 consecutive days in each 6-month period.
(2) Notwithstanding any other provision of this section and §§ 15-1209,
15-1211, and 15-1213 of this subtitle, a carrier may deny coverage to a self-employed
individual who applies for a health benefit plan at a time other than the carrier's
annual open enrollment period].
SECTION 2. AND BE IT FURTHER ENACTED, That:
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- 4172 -
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