Regulation .02 Definitions.
Regulation .02 Definitions.LinkCopy Citation
A.
In this chapter, the following terms have the meanings indicated.
B.
Terms Defined.
(1)
“Carrier” means a nonprofit health service plan.
(2)
“Covered individual” means an individual covered under an individual contract.
(2-1)
“Coverage period” means the interval of time the individual contract provides protection to the insured, in exchange for the payment of a particular premium.
(2-2)
“Health benefit plan” has the meaning stated in Insurance Article, §15-1301, Annotated Code of Maryland.
(3)
“Individual contract” means a contract issued by a nonprofit health service plan to a subscriber covering:
(a)
The subscriber;
(b)
The subscriber's dependents; or
(c)
The subscriber and the subscriber's dependents.
(4)
“Preferred provider” means a provider that has entered into a provider service contract.
(5)
“Preferred provider benefit” means a benefit that appears in an individual contract under which health care services are to be provided to the covered individual by a preferred provider.
(6)
“Provider service contract” means a contract between a provider and a carrier or other entity, under which the provider agrees to provide health care services on a preferential basis under contracts containing preferred provider benefits.
(7)
“Subscriber” means the individual to whom the nonprofit health service plan contract is issued.