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Session Laws, 2004
Volume 801, Page 2404   View pdf image
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Ch. 510                                    2004 LAWS OF MARYLAND

Article - Insurance

14-501.

(a)     In this subtitle the following words have the meanings indicated.

(b)     "Administrator" means:

(1)     a person that is registered as an administrator under Title 8, Subtitle
3 of this article; or

(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:

(i) provides evidence that, for health reasons, a carrier has refused
to issue substantially similar coverage to the individual;

(ii) provides evidence 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;

(iii) satisfies the definition of "eligible individual" under § 15-1301
of this article;

(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;

(v) is eligible for the tax credit for health insurance costs under § 35
of the Internal Revenue Code; or

(vi) is a 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:

(i) the federal Medicare program;

(ii) the Maryland Medical Assistance Program;

- 2404 -

 

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Session Laws, 2004
Volume 801, Page 2404   View pdf image
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