|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Martin O'Malley, Governor
|
|
Ch. 243
|
|
|
|
|
|
|
|
|
|
|
|
|
|
BY adding to
Article — Insurance
Section 14-205.1; and 15-1701 through 15-1703 to be under the new subtitle
"Subtitle 17. Health Insurance Coverage for Part-Time, Seasonal, and
Temporary Employees" 14-205.1 and 15-1104
Annotated Code of Maryland
(2006 Replacement Volume and 2006 Supplement)
SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That the Laws of Maryland read as follows:
Article - Health - General
19-706.
(JJJ) THE PROVISIONS OF TITLE 15, SUBTITLE 17 OF THE INSURANCE
ARTICLE SHALL APPLY TO HEALTH MAINTENANCE ORGANIZATIONS.
Article - Insurance
14-201.
(a) In this subtitle the following words have the meanings indicated.
(b) "Insured" means a person covered for benefits under a preferred provider
insurance policy offered or administered by an insurer.
(c) "Nonpreferred provider" means a provider that is eligible for payment
under a preferred provider insurance policy, but that is not a preferred provider under
the applicable provider service contract.
(d) "Preferential basis" means an arrangement under which the insured or
subscriber under a preferred provider insurance policy is entitled to receive health
care services from preferred providers at no cost, at a reduced fee, or under more
favorable terms than if the insured or subscriber received similar services from a
nonpreferred provider.
(e) "Preferred provider" means a provider that has entered into a provider
service contract.
|
|
|
|
|
|
|
|
|
|
(f) "Preferred provider insurance policy" means:
|
|
|
|
|
|
|
|
|
- 1665 -
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
 |
