<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".02" citation="COMAR 31.11.10.02" title_num="31" subtitle_num="11" chapter_num="10" heading="Definitions.">
  <paragraph num="A.">
    <text>In this chapter, the following terms have the meanings indicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>“Blanket health insurance” has the meaning stated in Insurance Article, §15-305, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Carrier” means an insurer or nonprofit health service plan.</text>
    </paragraph>
    <paragraph num="(2-1)">
      <text>“Coverage period” means the interval of time the blanket health insurance contract or group health insurance contract provides protection, in exchange for the payment of a particular premium.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Group Health Insurance.</text>
      <paragraph num="(a)">
        <text>“Group health insurance” has the meaning stated in Insurance Article, §15-302, Annotated Code of Maryland.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Group health insurance” includes:</text>
        <paragraph num="(i)">
          <text>A small employer health benefit plan as defined in Insurance Article, §15-1201, Annotated Code of Maryland; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>A contract issued to a group policyholder by a nonprofit health service plan.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>“Group policyholder” means the entity to whom the group health insurance contract or blanket health insurance contract is issued.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>“Insured” means an individual covered under a group health insurance contract or blanket health insurance contract.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Preferred provider” means a provider that has entered into a provider service contract.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>“Preferred provider benefit” means a benefit that appears in a group health insurance contract or blanket health insurance contract under which health care services are to be provided to the insured by a preferred provider.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“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.</text>
    </paragraph>
  </paragraph>
</regulation>