Regulation .02 Definitions.
Regulation .02 Definitions.LinkCopy Citation
A.
In this chapter, the following terms have the meanings indicated.
B.
Terms Defined.
(1)
“Body mass index” has the meaning stated in Insurance Article, §15-839, Annotated Code of Maryland.
(2)
“Carrier” means an insurer, a nonprofit health service plan, or a health maintenance organization.
(3)
“Commissioner” means the Maryland Insurance Commissioner.
(4)
“Health maintenance organization” has the meaning stated in Health-General Article, §19-701, Annotated Code of Maryland.
(5)
“Insurer” has the meaning stated in Insurance Article, §1-101, Annotated Code of Maryland.
(6)
“Member” means an individual who is covered by a contract that:
(a)
Is issued or delivered by a carrier in the State; and
(b)
Includes a benefit for the surgical treatment of morbid obesity.
(7)
“Morbid obesity” has the meaning stated in Insurance Article, §15-839, Annotated Code of Maryland.
(8)
“Nonprofit health service plan” means a person who has received a certificate of authority from the Commissioner to act as a nonprofit health service plan in the State.
(9)
“Private review agent” has the meaning stated in Insurance Article, §15-10B-01, Annotated Code of Maryland.
(10)
“Utilization review” has the meaning stated in Insurance Article, §15-10B-01, Annotated Code of Maryland.