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<section article="gin" article_name="Insurance" number="27-221" title_number="27" title_name="Unfair Trade Practices and Other Prohibited Practices" subtitle_number="2" subtitle_name="Unfair Methods of Competition and Unfair and Deceptive Acts or Practices">
  <level label="a">
    <level label="1">
      <text>In this section the following words have the meanings indicated.</text>
    </level>
    <level label="2">
      <text>“Carrier” means a person that is:</text>
      <level label="i">
        <text>an insurer that holds a certificate of authority in the State and provides health insurance in the State;</text>
      </level>
      <level label="ii">
        <text>a health maintenance organization that holds a certificate of authority to operate in the State; or</text>
      </level>
      <level label="iii">
        <text>a nonprofit health service plan that holds a certificate of authority to operate in the State.</text>
      </level>
    </level>
    <level label="3">
      <text>“Health coverage” means any of the following:</text>
      <level label="i">
        <text>a health insurance contract that is issued or delivered in the State by an insurer;</text>
      </level>
      <level label="ii">
        <text>a contract that is issued or delivered in the State by a nonprofit health service plan; or</text>
      </level>
      <level label="iii">
        <text>a contract that is issued or delivered in the State by a health maintenance organization.</text>
      </level>
    </level>
    <level label="4">
      <text>“Health status-related factor” has the meaning stated in § 15-1301 of this article.</text>
    </level>
    <level label="5">
      <text>“Individual contract” means a contract between a carrier and an individual covering:</text>
      <level label="i">
        <text>the individual;</text>
      </level>
      <level label="ii">
        <text>the individual and the individual’s family members; or</text>
      </level>
      <level label="iii">
        <text>the family members of the individual.</text>
      </level>
    </level>
    <level label="6">
      <level label="i">
        <text>“Reunderwrite” means to reevaluate any health status-related factor, occupation, hobby, or activity of an individual for the purpose of:</text>
        <level label="1">
          <text>terminating health coverage of the individual; or</text>
        </level>
        <level label="2">
          <text>moving the individual from a more favorable rate class to a less favorable rate class.</text>
        </level>
      </level>
      <level label="ii">
        <text>“Reunderwrite” does not include:</text>
        <level label="1">
          <text>moving an individual from one rate tier to another rate tier solely due to the addition or deletion of a family member under the health coverage;</text>
        </level>
        <level label="2">
          <text>increasing the premium under an attained age rated contract solely due to the increasing age of the individual covered under the health coverage;</text>
        </level>
        <level label="3">
          <text>on receipt of an application from an insured to increase the benefits under an existing contract, evaluating the health status-related factors, occupation, hobbies, or activities of the insured for the purpose of increasing the benefits under the contract; or</text>
        </level>
        <level label="4">
          <text>during the period in which a carrier has the right to contest a policy, denying a claim, amending the policy, making an adjustment to the premium, or rescinding the policy based on a material misrepresentation or fraud in the application.</text>
        </level>
      </level>
    </level>
  </level>
  <level label="b">
    <text>A carrier may not reunderwrite an individual for health coverage under an individual contract after the individual contract has been issued.</text>
  </level>
</section>
