Learn About The Law
Get help with your legal needs
FindLaw’s Learn About the Law features thousands of informational articles to help you understand your options. And if you’re ready to hire an attorney, find one in your area who can help.
Current as of January 01, 2025 | Updated by Findlaw Staff
(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 1, 2023; 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.
Cite this article: FindLaw.com - Maryland Code, Insurance § 15-1A-01 - last updated January 01, 2025 | https://codes.findlaw.com/md/insurance/md-code-insurance-sect-15-1a-01/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.
A free source of state and federal court opinions, state laws, and the United States Code. For more information about the legal concepts addressed by these cases and statutes, visit FindLaw’s Learn About the Law.
Get help with your legal needs
FindLaw’s Learn About the Law features thousands of informational articles to help you understand your options. And if you’re ready to hire an attorney, find one in your area who can help.
Search our directory by legal issue
Enter information in one or both fields (Required)