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Ch. 142
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Martin O'Malley, Governor
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CHAPTER 142
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(House Bill 519)
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AN ACT concerning
Health Insurance - Carrier Provider Panels - Nonphysician Specialists
FOR the purpose of requiring a health insurance carrier to establish and implement a
certain procedure for requesting a referral to a nonphysician specialist who is
not part of the carrier's provider panel; providing that a certain decision by a
health insurance carrier constitutes an adverse decision under certain
circumstances; defining a certain term; providing for the application of this Act:
and generally relating to health insurance carrier provider panels and
nonphysician specialists.
BY repealing and reenacting, with amendments,
Article — Insurance
Section 15-830
Annotated Code of Maryland
(2006 Replacement Volume and 2006 Supplement)
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SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That the Laws of Maryland read as follows:
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Article - Insurance
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15-830.
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(a) (1) In this section the following words have the meanings indicated.
(2) "Carrier" means:
(i) an insurer that offers health insurance other than long-term
care insurance or disability insurance;
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a nonprofit health service plan;
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(ii)
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a health maintenance organization;
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(iii)
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a dental plan organization; or
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(iv)
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- 1215 -
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