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2007 Laws of Maryland
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Ch. 629
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ACCORDANCE WITH THE REQUIREMENTS OF THE FEDERAL MEDICARE
MODERNIZATION ACT.
(I) "PLAN MEMBER" MEANS ANY INDIVIDUAL WHO PAYS FEES, DUES,
CHARGES, OR OTHER FINANCIAL CONSIDERATION FOR THE RIGHT TO RECEIVE
THE BENEFITS OF A DISCOUNT MEDICAL PLAN OR A DISCOUNT DRUG PLAN.
(J) "PROVIDER" MEANS:
(1) ANY PERSON OR INSTITUTION WHICH IS CONTRACTED,
DIRECTLY OR INDIRECTLY, WITH A DISCOUNT MEDICAL PLAN ORGANIZATION TO
PROVIDE MEDICAL SERVICES TO PLAN MEMBERS; OR
(2) ANY PERSON OR INSTITUTION WHICH IS CONTRACTED,
DIRECTLY OR INDIRECTLY, WITH A DISCOUNT DRUG PLAN ORGANIZATION TO
PROVIDE PHARMACEUTICAL SUPPLIES, PRESCRIPTION DRUGS, OR MEDICAL
EQUIPMENT AND SUPPLIES TO PLAN MEMBERS.
(K) "STATE PRESCRIPTION DRUG PLAN" MEANS ANY DISCOUNT PLAN
OPERATED BY A STATE AGENCY.
14-602.
(A) EXCEPT AS PROVIDED IN SUBSECTION (B) OF THIS SECTION, THIS
SUBTITLE DOES NOT APPLY TO AN INSURER, NONPROFIT HEALTH SERVICE
PLAN, HEALTH MAINTENANCE ORGANIZATION, OR DENTAL PLAN ORGANIZATION
THAT HOLDS A CERTIFICATE OF AUTHORITY IN THIS STATE.
(B) AN INSURER, NONPROFIT HEALTH SERVICE PLAN, HEALTH
MAINTENANCE ORGANIZATION, OR DENTAL PLAN ORGANIZATION SHALL:
(1) COMPLY WITH §§ 14-606 THROUGH 14-611 OF THIS
SUBTITLE;
(2) NOTIFY THE COMMISSIONER IN WRITING THAT IT SELLS,
MARKETS, OR SOLICITS A DISCOUNT MEDICAL PLAN OR DISCOUNT DRUG PLAN
IN THE STATE; AND
(3) (I) FILE ANNUALLY WITH THE COMMISSIONER A CURRENT
LIST OF THE PERSONS, OTHER THAN LICENSED INSURANCE PRODUCERS, WHO
ARE AUTHORIZED TO SELL, MARKET, OR SOLICIT IN THE STATE A DISCOUNT
MEDICAL PLAN OR DISCOUNT DRUG PLAN ESTABLISHED BY THE INSURER,
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- 3986 -
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