§ 15-1A-05
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/md/insurance/15-1a-05A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
§15–1A–05.
(a)This section applies to all grandfathered plans except grandfathered plans that are individual plans and to every health benefit plan that is not a grandfathered plan.
(b)A carrier may not:
(1)exclude or limit benefits because a health condition was present before the effective date of coverage; or
(2)deny coverage because a health condition was present before or on the date of denial.
(c)The prohibition in subsection
(b)of this section applies whether or not:
(1)any medical advice, diagnosis, care, or treatment was recommended or received for the condition; or
(2)the health condition was identified as a result of:
(i)a pre–enrollment questionnaire or physical examination given to an individual; or
(ii)a review of records relating to the pre–enrollment period.