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H.B. 91 VETOES
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(2) MEDICAL CONDITION;
(3) CLAIMS EXPERIENCE;
(4) RECEIPT OF HEALTH CARE;
(5) MEDICAL HISTORY;
(6) GENETIC INFORMATION;
(7) EVIDENCE OF INSURABILITY INCLUDING CONDITIONS ARISING OUT
OF ACTS OF DOMESTIC VIOLENCE; OR
(8) DISABILITY.
[(g)] (H) "Late enrollee" means:
(1) an eligible employee or dependent who requests enrollment in a
health benefit plan after the initial enrollment period provided under the health
benefit plan; or
(2) a self-employed individual described in § 15-1203(c) or (d) of this
subtitle or dependent who requests enrollment in a health benefit plan after an
annual open enrollment period for self-employed individuals established by the
carrier in accordance with regulations adopted by the Commissioner.
[(h)] (I) "Pool" means the Maryland Small Employer Health Reinsurance Pool
established under this subtitle.
[(i)] (J) "Preexisting condition" means:
(1) a condition existing during a specified period immediately preceding
the effective date of coverage, that would have caused an ordinarily prudent person to
seek medical advice, diagnosis, care, or treatment; or
(2) a condition for which medical advice, diagnosis, care, or treatment
was recommended or received during a specified period immediately preceding the
effective date of coverage.
[(j))] (K) "Preexisting condition provision" means a provision in a health
benefit plan that denies, excludes, or limits benefits for an enrollee for expenses or
services related to a preexisting condition.
[(k)] (L) "Reinsuring carrier" means a carrier that participates in the Pool.
[(l)] (M) "Risk-assuming carrier" means a carrier that does not participate in
the Pool.
[(m)] (N) "Small employer" means:
(1) an employer described in § 15-1203 of this subtitle; or
(2) an entity that leases employees from a professional employer
organization, coemployer, or other organization engaged in employee leasing and that
otherwise meets the description of § 15-1203 of this subtitle.
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- 4254 -
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