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Martin O'Malley, Governor S.B. 427
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(2) "EMPLOYER SPONSORED HEALTH BENEFIT PLAN" MEANS ANY
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PLAN, FUND, OR PROGRAM THAT:
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(I) IS ESTABLISHED OR MAINTAINED BY AN EMPLOYER
UNDER THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974;
(II) OFFERS COVERAGE FOR HEALTH BENEFITS; AND
(III) IS TREATED BY THE EMPLOYER OR ANY ELIGIBLE
EMPLOYEE OR DEPENDENT AS PART OF A PLAN, FUND, OR PROGRAM UNDER
THE UNITED STATES INTERNAL REVENUE CODE, 26 U.S.C. § 106, § 125, OR §
162.
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(3) "GROUP HEALTH INSURANCE" HAS THE MEANING STATED IN §
15-302 OF THIS TITLE.
(4) "LIMITED BENEFIT GROUP HEALTH INSURANCE CONTRACT"
MEANS A GROUP HEALTH INSURANCE CONTRACT THAT PROVIDES HEALTH
INSURANCE BENEFITS, BUT IS NOT REQUIRED TO PROVIDE ALL THE BENEFITS
REQUIRED UNDER SUBTITLES 7 AND 8 OF THIS TITLE.
(5) "SPECIAL ELIGIBLE EMPLOYEE" MEANS AN EMPLOYEE WHO
IS:
(I) IS ELIGIBLE FOR HEALTH COVERAGE UNDER THE
TERMS OF AN EMPLOYER SPONSORED HEALTH BENEFIT PLAN;
(II) WORKS:
1. ON A TEMPORARY OR SUBSTITUTE BASIS; OR
2. LESS THAN 30 HOURS IN A NORMAL WORKWEEK;
AND
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(III) IS NOT ELIGIBLE FOR COVERAGE UNDER ANY GROUP
HEALTH INSURANCE CONTRACT, NONPROFIT HEALTH SERVICE PLAN
CONTRACT, OR HEALTH MAINTENANCE ORGANIZATION CONTRACT ISSUED TO
THE EMPLOYEE'S EMPLOYER BECAUSE THE EMPLOYEE MEETS THE CRITERIA OF
ITEM (II) OF THIS PARAGRAPH.
(B) A LIMITED BENEFIT GROUP HEALTH INSURANCE CONTRACT MAY BE
ISSUED ONLY BY AN INSURER OR NONPROFIT HEALTH SERVICE PLAN TO AN
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- 4245 -
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