Section 15-417 – Coverage for Part-Time Students With Disabilities
(a) This section applies to: (1) insurers and nonprofit health service plans that provide hospital, medical, or surgical benefits to individuals or groups on an expense-incurred basis under health insurance policies or contracts that are issued or delivered in the State; and (2) health maintenance organizations that provide hospital, medical, or surgical benefits to individuals or groups under […]
Section 15-401 – Coverage for Newly Born or Newly Adopted Children or Grandchildren or Minors Under Guardianship
(a) In this section, “date of adoption” means the earlier of: (1) a judicial decree of adoption; or (2) the assumption of custody, pending adoption, of a prospective adoptive child by a prospective adoptive parent. (b) (1) This subsection applies to: (i) each individual health insurance policy that: 1. is delivered, issued for delivery, or renewed in the State; 2. provides coverage on […]
Section 15-418 – Child Dependent Coverage
(a) (1) In this section the following words have the meanings indicated. (2) “Carrier” means: (i) an insurer; (ii) a nonprofit health service plan; or (iii) a health maintenance organization. (3) “Child dependent” means an individual who: (i) is: 1. the grandchild of the insured; or 2. a child who is entitled to dependent coverage under § 15–403.1 of this subtitle; (ii) is unmarried; and (iii) is […]
Section 15-402 – Coverage for Unmarried Dependent Incapacitated Children, Grandchildren, and Individuals Under Guardianship
(a) This section applies to: (1) each individual or group health insurance policy that is issued in the State; and (2) each contract that is issued in the State by a nonprofit health service plan or a health maintenance organization. (b) (1) Notwithstanding any limiting age stated in a policy or contract subject to this section, a child, grandchild, or […]
Section 15-403 – Coverage for Grandchildren
(a) This section applies to: (1) each individual health insurance policy that: (i) provides coverage on an expense–incurred basis; and (ii) provides coverage for a family member of the insured; (2) each group health insurance policy that: (i) provides coverage on an expense–incurred basis for employees of an employer or employers or members of a union or unions; and (ii) provides coverage […]
Section 15-403.1 – Coverage for Individuals Under Guardianship
(a) This section applies to: (1) each individual health insurance policy that: (i) provides coverage on an expense–incurred basis; and (ii) provides coverage for a family member of the insured; (2) each group health insurance policy that: (i) provides coverage on an expense–incurred basis for employees of an employer or employers or members of a union or unions; and (ii) provides coverage […]
Section 15-403.2 – Coverage for Child Dependent of Domestic Partner
(a) In this section, “child dependent of the domestic partner” means an individual who: (1) is: (i) the natural child, stepchild, adopted child, or grandchild of the domestic partner of an insured; (ii) a child placed with the domestic partner of an insured for legal adoption; or (iii) a child who is under testamentary or court appointed guardianship, other than […]
Section 15-404 – Addition of Children After Death of Spouse
(a) This section applies to: (1) each group or blanket health insurance policy that is issued or delivered in the State and provides coverage on an expense-incurred basis; and (2) each group medical or major medical contract or certificate that is issued or delivered in the State by a nonprofit health service plan. (b) Each policy, contract, or certificate […]
Section 15-405 – Enrollment of Child Under Coverage of Insuring Parent
(a) (1) In this section the following words have the meanings indicated. (2) “Carrier” means: (i) an insurer that holds a certificate of authority in the State and provides health insurance in the State; (ii) a health maintenance organization that is licensed to operate in the State; or (iii) a nonprofit health service plan that is licensed to operate in the […]
Section 15-406 – Medical Assistance
(a) In this section, “health insurance coverage” means health care coverage under which medical care services can be provided to a child. (b) This section applies to: (1) commercial insurers, nonprofit health service plans, and health maintenance organizations that operate in the State under a certificate of authority; (2) group health plans, as defined in § 607(1) of the […]