Section 15-409.1 – Continuation Coverage for Involuntarily Terminated Employees — Small Employers
(a) (1) In this section the following words have the meanings indicated. (2) “Act” means the federal American Recovery and Reinvestment Act of 2009 (P.L. 111–5). (3) “Carrier” means: (i) an insurer; (ii) a nonprofit health service plan; or (iii) a health maintenance organization. (4) “Small employer” has the meaning stated in § 15–1201 of this title. (b) This section applies to a carrier […]
Section 15-411 – Open Enrollment of Involuntarily Terminated Spouse Losing Coverage
(a) Each group health insurance contract or policy that is issued by an insurer or nonprofit health service plan shall provide continuous open enrollment for the purpose of allowing a married employee who is enrolled under the contract or policy to alter the terms of the employee’s coverage to include the employee’s spouse or children if […]
Section 15-413 – Conversion From Group to Individual Policy — Group Health Insurance Policies With Disability Benefits
(a) (1) Except as provided in paragraph (2) of this subsection, this section applies to each group health insurance policy that: (i) 1. is issued or delivered in the State; 2. is issued to a policyholder that is incorporated or has a main office in the State; or 3. covers individuals who reside or work in the State; and (ii) provides benefits […]
Section 15-416 – Notice to Parents of Impending Loss of Child’s Coverage
(a) This section applies to insurers, nonprofit health service plans, and health maintenance organizations that deliver or issue for delivery in the State individual, group, or blanket health insurance policies and contracts. (b) At least 60 days before a child who is covered under a parent’s individual, group, or blanket health insurance policy or contract reaches the […]
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 […]