# COMAR Title 31 — Maryland Insurance Administration

## Subtitle 10 — Health Insurance — General

### Chapter 10 — Summary Explanation of Benefits

#### Regulation .02 Definitions.

*COMAR 31.10.10.02*

A. In this chapter, the following terms have the meanings indicated.

B. Terms Defined.

  (1) “Claimant” means an insured individual resident in Maryland making a claim against the insurer for benefits, who is a:

    (a) Policyholder covered by an individual policy; or

    (b) Certificate holder covered under a group policy or under an administration contract.

  (2) “Service” means any service for which a charge is made which is covered under the policy or contract, including charges for, but not limited to:

    (a) Fees of surgeons, anesthetists, and other physicians;

    (b) Room and board charges;

    (c) Operating room charges;

    (d) Recovery room charges; and

    (e) Nursing care charges.