§ 15-1A-01
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/md/insurance/15-1a-01A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
§15–1A–01.
(a)In this subtitle the following words have the meanings indicated.
(b)“Carrier” means:
(1)an insurer that holds a certificate of authority in the State and provides health insurance in the State;
(2)a health maintenance organization that is licensed to operate in the State;
(3)a nonprofit health service plan that is licensed to operate in the State; or
(4)any other person or organization that provides health benefit plans subject to State insurance regulation.
(c)“Child” means:
(1)a natural child, a stepchild, a foster child, or an adopted child of the insured; or
(2)a child placed with the insured for legal adoption.
(d)“Essential health benefit” means a health benefit that:
(1)meets the criteria established under § 1302(b) of the Affordable Care Act; or
(2)if the Commissioner adopts regulations as described in § 15–1A–04 of this subtitle, meets the criteria established by the adopted regulations.
(e)“Grandfathered plan” means a health benefit plan that:
(1)meets the criteria established under 45 C.F.R. § 147.140 and any corresponding federal rules and guidance as those provisions were in effect December 31, 2024; or
(2)if the Commissioner adopts regulations as described in § 15–1A–03 of this subtitle, meets the criteria established by the adopted regulations.
(f)“Group plan” means a small group plan or a large group plan.
(g)“Health benefit plan” means an individual plan, a small group plan, or a large group plan.
(h)“Individual plan” means an individual health benefit plan as defined in § 15–1301(o) of this title.
(i)“Insured individual” means:
(1)an insured, an enrollee, a subscriber, a participant, a member, or a beneficiary of a health benefit plan; or
(2)any covered dependent of a health benefit plan.
(j)“Large group plan” means a health benefit plan as defined in § 15–1401 of this title.
(k)“Small group plan” means a health benefit plan as defined in § 15–1201 of this title.