(a) In this subtitle the following words have the meanings indicated. (b) “Association” or “bona fide association” means, with respect to health insurance coverage offered in this State, an association that: (1) has been actively in existence for at least 5 years; (2) has been formed and maintained in good faith for purposes other than obtaining insurance and does […]
(a) Subject to subsection (b) of this section, this subtitle applies to all carriers in connection with group health benefit plans. (b) This subtitle does not apply to policies issued under Subtitle 12 of this title.
(a) A carrier may not establish rules for eligibility of an individual to enroll under a group health benefit plan based on any health status-related factor. (b) Subsection (a) of this section does not: (1) require a carrier to provide particular benefits other than those provided under the terms of the particular health benefit plan; or (2) prevent a […]
(a) In this section, “eligible employee” means: (1) a participant under the group health benefit plan; or (2) an individual who: (i) has met any waiting period applicable to becoming a participant under the group health benefit plan; (ii) is eligible to be enrolled under the plan; and (iii) is not a participant in the group health benefit plan because of […]
A carrier may not require an individual member of a group to pay a premium or contribution that is greater than the premium or contribution for a similarly situated individual, based on any health status-related factor.
A carrier shall renew group health benefit plans at the option of the policyholder or plan sponsor, except in any of the following cases: (1) for nonpayment of the required premium; (2) where the policyholder or plan sponsor has performed an act or practice that constitutes fraud; (3) where the policyholder or plan sponsor has made an intentional […]
(a) In this section, “product” means a discrete package of health benefits that are offered using a particular product network type within a geographic service area. (b) A carrier that elects not to renew all of a particular product in the State shall: (1) provide notice of the nonrenewal at least 90 days before the date of the […]
(a) In this section, “plan year” has the meaning stated in § 15–1201 of this title. (b) The guaranteed issuance of coverage provision in Title I, Subtitle C of the Affordable Care Act applies to each health benefit plan with a plan year that begins on or after January 1, 2014.
(a) (1) In this section the following words have the meanings indicated. (2) “Aggregate incurred claims” means the total claims incurred in the experience period that the carrier uses to experience rate a large employer’s health benefit plan. (3) “Experience rating” means that a carrier develops the premium rates for an employer’s health benefit plan based in whole or […]
