Regulation .02 Definitions.
Regulation .02 Definitions.LinkCopy Citation
A.
In this chapter, the following terms have the meanings indicated.
B.
Terms Defined.
(1)
“Blanket insurance” has the meaning stated in Insurance Article, §15-305, Annotated Code of Maryland.
(2)
“Carrier” means any of the following:
(a)
An insurer;
(b)
A nonprofit health service plan;
(c)
A health maintenance organization; and
(d)
A dental plan organization.
(3)
“Certificate” or “summary plan description” means the benefit summary that sets forth the essential elements of a group contract and that is required to be provided by a carrier to individuals covered under a group contract.
(4)
“Certificate holder” means an individual who is eligible to be covered under a group contract by reason of satisfying the eligibility requirements of the group contract, other than an individual who is covered under a group contract as the spouse, domestic partner, or dependent of the certificate holder.
(5)
“Contract holder” means the entity to whom a contract is issued.
(6)
“Group contract” means a health insurance contract, a nonprofit health service plan contract, a health maintenance organization contract, or a dental plan organization contract issued by a carrier to a group for the purpose of covering:
(a)
Employees or members of the group;
(b)
The dependents of employees or members of the group; or
(c)
The employees, or members of the group, and the employee's, or member's dependents.
(7)
“Health insurance” has the meaning stated in Insurance Article, §1-101, Annotated Code of Maryland.
(8)
“Individual contract” means a health insurance contract, a nonprofit health service plan contract, a health maintenance organization contract, or a dental plan organization contract issued by a carrier to a contract holder covering:
(a)
The contract holder;
(b)
The contract holder's dependents; or
(c)
The contract holder, and the contract holder's dependents.
(9)
“Insurance producer” has the meaning stated in Insurance Article, §1-101, Annotated Code of Maryland.