<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".02" citation="COMAR 31.12.07.02" title_num="31" subtitle_num="12" chapter_num="07" 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>“Coverage period” means the interval of time the individual contract or group contract provides protection, in exchange for the payment of a particular premium.</text>
    </paragraph>
    <paragraph num="(1-1)">
      <text>Group Contract.</text>
      <paragraph num="(a)">
        <text>“Group contract” means a contractual agreement entered into between an HMO and an employer, union, trustee, association, or other organization for the provision of health care services on a prepaid basis to:</text>
        <paragraph num="(i)">
          <text>Subscribers of the group contract holder; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Subscribers of the group contract holder and the subscriber's dependents.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>“Group contract” includes a small employer health benefit plan as defined in Insurance Article, §15-1201, Annotated Code of Maryland.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>“Group contract holder” means the entity to whom the group contract is issued.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“HMO” means a health maintenance organization.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“Individual contract” means a contractual agreement for the provision of health care services on a prepaid basis entered into between an HMO and a subscriber covering:</text>
      <paragraph num="(a)">
        <text>The subscriber;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The subscriber and the subscriber's dependents; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The subscriber's dependents.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>“Member” means an individual entitled to receive health care benefits from the HMO under an individual or group contract.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Subscriber” means for:</text>
      <paragraph num="(a)">
        <text>Group contracts, the individual who is eligible to be covered under the contract, other than as a dependent, by reason of satisfying the eligibility requirements of the group contract; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Individual contracts, the individual to whom the HMO contract is issued.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>