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<section article="gin" article_name="Insurance" number="15-1A-03" title_number="15" title_name="Health Insurance" subtitle_number="1A" subtitle_name="Consumer Protections">
  <level label="a">
    <text>For purposes of this subtitle, to the extent necessary, the Commissioner shall adopt regulations that:</text>
    <level label="1">
      <text>establish criteria that a health benefit plan must meet to be considered a grandfathered plan; and</text>
    </level>
    <level label="2">
      <text>are consistent with 45 C.F.R. § 147.140 and any corresponding federal rules and guidance as those provisions were in effect December 31, 2024.</text>
    </level>
  </level>
  <level label="b">
    <text>Except as otherwise provided in this subtitle and subject to subsection (c) of this section, this subtitle applies to any health benefit plan that is offered by a carrier in the State within the scope of:</text>
    <level label="1">
      <text>Subtitle 12 of this title;</text>
    </level>
    <level label="2">
      <text>Subtitle 13 of this title; or</text>
    </level>
    <level label="3">
      <text>Subtitle 14 of this title.</text>
    </level>
  </level>
  <level label="c">
    <level label="1">
      <text>Except as provided in paragraph (2) of this subsection, the provisions of this subtitle do not apply to a grandfathered plan.</text>
    </level>
    <level label="2">
      <level label="i">
        <text>The following provisions apply to all grandfathered plans:</text>
        <level label="1">
          <text>the provisions of § 15–1A–08 of this subtitle related to health benefit plans that provide dependent coverage of a child;</text>
        </level>
        <level label="2">
          <text>the provisions of § 15–1A–11 of this subtitle related to the prohibition on establishing lifetime limits on the dollar value of benefits;</text>
        </level>
        <level label="3">
          <text>the provisions of § 15–1A–12 of this subtitle related to waiting periods;</text>
        </level>
        <level label="4">
          <text>the provisions of § 15–1A–13 of this subtitle related to choice of provider;</text>
        </level>
        <level label="5">
          <text>the provisions of § 15–1A–14 of this subtitle related to coverage of emergency services;</text>
        </level>
        <level label="6">
          <text>the provisions of § 15–1A–15 of this subtitle related to summary of benefits and coverage requirements;</text>
        </level>
        <level label="7">
          <text>the provisions of § 15–1A–16 of this subtitle related to medical loss ratio and corresponding reporting and rebate requirements; and</text>
        </level>
        <level label="8">
          <text>the provisions of § 15–1A–21 of this subtitle related to rescission of a health benefit plan.</text>
        </level>
      </level>
      <level label="ii">
        <text>The following provisions apply to all grandfathered plans except grandfathered plans that are individual plans:</text>
        <level label="1">
          <text>the provisions of § 15–1A–05 of this subtitle related to preexisting condition exclusions; and</text>
        </level>
        <level label="2">
          <text>the provisions of § 15–1A–11 of this subtitle related to the prohibition on establishing annual limits on the dollar value of benefits.</text>
        </level>
      </level>
    </level>
  </level>
</section>
