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Ch. 153
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2002 LAWS OF MARYLAND
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(2) A CARRIER AS DEFINED UNDER SUBSECTION (D) OF THIS SECTION.
(C) "BOARD" MEANS THE BOARD OF DIRECTORS FOR THE MARYLAND HEALTH
INSURANCE PLAN.
(D) "CARRIER" MEANS:
(1) AN AUTHORIZED INSURER THAT PROVIDES HEALTH INSURANCE IN
THE STATE;
(2) A NONPROFIT HEALTH SERVICE PLAN THAT IS LICENSED TO
OPERATE IN THE STATE; OR
(3) A HEALTH MAINTENANCE ORGANIZATION THAT IS LICENSED TO
OPERATE IN THE STATE.
(E) "FUND" MEANS THE MARYLAND HEALTH INSURANCE PLAN FUND.
(F) (1) "MEDICALLY UNINSURABLE INDIVIDUAL" MEANS AN INDIVIDUAL
WHO IS A RESIDENT OF THE STATE AND WHO:
(1) (I) PROVIDES EVIDENCE TO THE BOARD THAT, FOR HEALTH
REASONS, A CARRIER HAS REFUSED TO ISSUE SUBSTANTIALLY SIMILAR COVERAGE
TO THE INDIVIDUAL;
(2) (II) PROVIDES EVIDENCE TO THE BOARD THAT, FOR HEALTH
REASONS, A CARRIER HAS REFUSED TO ISSUE SUBSTANTIALLY SIMILAR COVERAGE
TO THE INDIVIDUAL, EXCEPT AT A RATE THAT EXCEEDS THE PLAN RATE;
(3) (III) SATISFIES THE DEFINITION OF "ELIGIBLE INDIVIDUAL"
UNDER § 15-1301 OF THIS ARTICLE;
(4) (IV) HAS A HISTORY OF OR SUFFERS FROM A MEDICAL OR HEALTH
CONDITION THAT IS INCLUDED ON A LIST PROMULGATED IN REGULATION BY THE
BOARD; OR
(5) (V) ISA DEPENDENT OF AN INDIVIDUAL WHO IS ELIGIBLE FOR
COVERAGE UNDER THIS SUBSECTION.
(2) "MEDICALLY UNINSURABLE INDIVIDUAL" DOES NOT INCLUDE AN
INDIVIDUAL WHO IS ELIGIBLE FOR COVERAGE UNDER:
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(I)
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THE FEDERAL MEDICARE PROGRAM;
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(II)
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THE MARYLAND MEDICAL ASSISTANCE PROGRAM;
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(III)
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THE MARYLAND CHILDREN'S HEALTH PROGRAM: OR
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(IV) AN EMPLOYER-SPONSORED GROUP HEALTH INSURANCE PLAN
THAT INCLUDES BENEFITS COMPARABLE TO PLAN BENEFITS.
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(G)
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PLAN" MEANS THE MARYLAND HEALTH INSURANCE PLAN.
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- 1542 -
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