ROBERT L. EHRLICH, JR., Governor                             Ch. 321

(1) SUBJECT TO A COPAYMENT OR COINSURANCE REQUIREMENT OR
DEDUCTIBLE THAT AN INSURER, NONPROFIT HEALTH SERVICE PLAN, OR HEALTH
MAINTENANCE ORGANIZATION IMPOSES FOR SIMILAR COVERAGES UNDER THE
SAME POLICY OR CONTRACT; AND

(2) PRICED AT A RATE APPROPRIATE TO THE COST OF THE COVERAGE
BASED ON UNDERWRITING STANDARDS.

(H) AN INSURED, SUBSCRIBER, EMPLOYEE, OR MEMBER WHO ELECTS TO
REQUEST THE COVERAGE SPECIFIED UNDER SUBSECTION (C) OF THIS SECTION
SHALL REQUEST THE COVERAGE:

(1) FOR A GROUP HEALTH INSURANCE POLICY, DURING AN OPEN
ENROLLMENT PERIOD PROVIDED FOR UNDER THE POLICY; OR

(2) FOR AN INDIVIDUAL HEALTH INSURANCE POLICY OR INDIVIDUAL
SERVICE OR INDEMNITY CONTRACT, WITHIN 30 DAYS BEFORE THE ANNIVERSARY
DATE OF THE POLICY OR CONTRACT.

(A)     THIS SECTION APPLIES TO INSURERS, NONPROFIT HEALTH SERVICE
PLANS, AND HEALTH MAINTENANCE ORGANIZATIONS THAT DELIVER OR ISSUE FOR
DELIVERY IN THE STATE INDIVIDUAL, GROUP, OR BLANKET HEALTH INSURANCE
POLICIES AND CONTRACTS.

(B)     AT LEAST 60 DAYS BEFORE A CHILD AGE 19 AND OLDER WHO IS COVERED
UNDER A PARENTS INDIVIDUAL, GROUP, OR BLANKET HEALTH INSURANCE POLICY
OR CONTRACT AS A FULL-TIME STUDENT ATTAINS THE LIMITING AGE SPECIFIED IN
THE POLICY OR CONTRACT FOR A FULL-TIME STUDENT, AN ENTITY SUBJECT TO
THIS SECTION SHALL:

(1)      NOTIFY THE PARENT OF THE IMPENDING LOSS OF THE CHILD'S
COVERAGE; AND

(2)      PROVIDE INFORMATION REGARDING:

(I)      ANY OTHER POLICIES THAT MAY BE AVAILABLE TO THE CHILD
FROM THE ENTITY; AND

(II)     THE AVAILABILITY OF ADDITIONAL INFORMATION FROM THE
ADMINISTRATION REGARDING INDIVIDUAL POLICIES IN THE STATE.

15-1313.

THE ADMINISTRATION SHALL PROVIDE ON ITS WEBSITE AND IN PRINTED FORM
ON REQUEST A LIST OF CARRIERS, INCLUDING CONTACT INFORMATION FOR EACH
CARRIER, THAT OFFER INDIVIDUAL HEALTH BENEFIT PLANS IN THE STATE.

Article - Health - General

19-706.

(ZZ) THE PROVISIONS OF § 15-416 OF THE INSURANCE ARTICLE APPLY TO
HEALTH MAINTENANCE ORGANIZATIONS.

- 1223 -