1. (a) In this subtitle the following words have the meanings indicated.

2. (b) “Carrier” means a person that:

   1. (1) offers a health benefit plan in the State; and

   2. (2) is:

      1. (i) an insurer;
      2. (ii) a nonprofit health service plan; or
      3. (iii) a health maintenance organization.
3. (c) “Contract holder” means a person to which a carrier has issued a health benefit plan.

4. (d)

   1. (1) “Health benefit plan” means:

      1. (i) a health insurance contract, a nonprofit health service plan contract, or a health maintenance organization contract that includes benefits for medical care; or
      2. (ii) a certificate of health insurance issued or delivered to a Maryland resident under a contract issued to an association located in the State or any other state.

   2. (2) “Health benefit plan” does not include:

      1. (i) one or more, or any combination of the following:

         1. 1. coverage only for accident or disability income insurance;
         2. 2. coverage issued as a supplement to liability insurance;
         3. 3. liability insurance, including general liability insurance and automobile liability insurance;
         4. 4. workers' compensation or similar insurance;
         5. 5. automobile medical payment insurance;
         6. 6. credit-only insurance;
         7. 7. coverage for on-site medical clinics; and
         8. 8. other similar insurance coverage, as specified in federal regulations issued pursuant to P.L. 104-191, under which benefits for medical care are secondary or incidental to other insurance benefits;

      2. (ii) the following benefits if they are provided under a separate policy, certificate, or contract of insurance or are otherwise not an integral part of a health benefit plan:

         1. 1. limited scope dental or vision benefits;
         2. 2. benefits for long-term care, nursing home care, home health care, community-based care, or any combination of these benefits; and
         3. 3. other similar limited benefits as specified in federal regulations issued pursuant to P.L. 104-191;

      3. (iii) the following benefits if offered as independent, noncoordinated benefits:

         1. 1. coverage only for a specified disease or illness; and
         2. 2. hospital indemnity or other fixed indemnity insurance; or

      4. (iv) the following benefits if offered as a separate policy, certificate, or contract of insurance:

         1. 1. Medicare supplemental health insurance, as defined in § 1882(g)(1) of the Social Security Act;
         2. 2. coverage supplemental to the coverage provided under Chapter 55 of Title 10, United States Code; and
         3. 3. similar supplemental coverage provided to coverage under an employer sponsored plan.

5. (e) “Medical care” means:

   1. (1) items or services for the diagnosis, cure, mitigation, treatment, or prevention of a disease, injury, or condition affecting any structure or function of the body; and
   2. (2) transportation primarily for and essential to medical care described in item (1) of this subsection.

Added by Acts 2012, c. 513, § 1, eff. July 1, 2012; Acts 2012, c. 514, § 1, eff. July 1, 2012.