# COMAR Title 31 — Maryland Insurance Administration

## Subtitle 10 — Health Insurance — General

### Chapter 33 — Utilization Review of Surgical Treatment of Morbid Obesity

#### Regulation .02 Definitions.

*COMAR 31.10.33.02*

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.
