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<section article="gin" article_name="Insurance" number="15-1A-01" title_number="15" title_name="Health Insurance" subtitle_number="1A" subtitle_name="Consumer Protections">
  <level label="a">
    <text>In this subtitle the following words have the meanings indicated.</text>
  </level>
  <level label="b">
    <text>“Carrier” means:</text>
    <level label="1">
      <text>an insurer that holds a certificate of authority in the State and provides health insurance in the State;</text>
    </level>
    <level label="2">
      <text>a health maintenance organization that is licensed to operate in the State;</text>
    </level>
    <level label="3">
      <text>a nonprofit health service plan that is licensed to operate in the State; or</text>
    </level>
    <level label="4">
      <text>any other person or organization that provides health benefit plans subject to State insurance regulation.</text>
    </level>
  </level>
  <level label="c">
    <text>“Child” means:</text>
    <level label="1">
      <text>a natural child, a stepchild, a foster child, or an adopted child of the insured; or</text>
    </level>
    <level label="2">
      <text>a child placed with the insured for legal adoption.</text>
    </level>
  </level>
  <level label="d">
    <text>“Essential health benefit” means a health benefit that:</text>
    <level label="1">
      <text>meets the criteria established under § 1302(b) of the Affordable Care Act; or</text>
    </level>
    <level label="2">
      <text>if the Commissioner adopts regulations as described in § 15–1A–04 of this subtitle, meets the criteria established by the adopted regulations.</text>
    </level>
  </level>
  <level label="e">
    <text>“Grandfathered plan” means a health benefit plan that:</text>
    <level label="1">
      <text>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 31, 2024; or</text>
    </level>
    <level label="2">
      <text>if the Commissioner adopts regulations as described in § 15–1A–03 of this subtitle, meets the criteria established by the adopted regulations.</text>
    </level>
  </level>
  <level label="f">
    <text>“Group plan” means a small group plan or a large group plan.</text>
  </level>
  <level label="g">
    <text>“Health benefit plan” means an individual plan, a small group plan, or a large group plan.</text>
  </level>
  <level label="h">
    <text>“Individual plan” means an individual health benefit plan as defined in § 15–1301(o) of this title.</text>
  </level>
  <level label="i">
    <text>“Insured individual” means:</text>
    <level label="1">
      <text>an insured, an enrollee, a subscriber, a participant, a member, or a beneficiary of a health benefit plan; or</text>
    </level>
    <level label="2">
      <text>any covered dependent of a health benefit plan.</text>
    </level>
  </level>
  <level label="j">
    <text>“Large group plan” means a health benefit plan as defined in § 15–1401 of this title.</text>
  </level>
  <level label="k">
    <text>“Small group plan” means a health benefit plan as defined in § 15–1201 of this title.</text>
  </level>
</section>
