Md. Code Ann., Ins. § 9-401
Definitions
Effective Oct 1, 2020Added by Acts 1996, c. 11, § 1, eff. Oct. 1, 1997. Amended by Acts 1997, c. 57, § 2, eff. Oct. 1, 1997; Acts 2012, c. 66, § 6, eff. April 10, 2012; Acts 2012, c. 633, § 1, eff. Oct. 1, 2012; Acts 2012, c. 634, § 1, eff. Oct. 1, 2012; Acts 2020, c. 73, § 1, eff. Oct. 1, 2020; Acts 2020, c. 74, § 1, eff. Oct. 1, 2020.State of Maryland
- (a) In this subtitle the following words have the meanings indicated.
(b) “Account” means:
- (1) the health account;
- (2) the life insurance account; or
- (3) the annuity account.
- (c) “Association” means the Corporation or any similar organization that has been formed in another state that serves the same purpose as the Corporation for the other state.
- (d) “Contractual obligation” means an obligation under a policy or contract or certificate under a group policy or contract for which coverage is provided under § 9-403 of this subtitle.
- (e) “Corporation” means the Life and Health Insurance Guaranty Corporation.
- (f) “Covered policy” or “covered contract” means a policy or contract to which this subtitle applies.
(g)
(1) “Health benefit plan” means:
- (i) a hospital or medical expense policy or certificate;
- (ii) a health maintenance organization subscriber contract or group master certificate; or
- (iii) any other similar health contract.
(2) “Health benefit plan” does not include:
- (i) accident-only insurance;
- (ii) credit insurance;
- (iii) dental-only insurance;
- (iv) vision-only insurance;
- (v) Medicare supplement insurance;
- (vi) benefits for long-term care, home health care, community-based care, or any combination of these benefits;
- (vii) disability insurance;
- (viii) coverage for on-site medical clinics; or
(ix) specified disease, hospital confinement indemnity, or limited benefit health insurance if the types of coverage:
- 1. do not provide coordination of benefits; and
- 2. are provided under separate policies or certificates.
(h) “Impaired insurer” means a member insurer that:
- (1) after July 1, 1971, is not an insolvent insurer and is placed under an order of rehabilitation or conservation by a court of competent jurisdiction; or
- (2) is determined by the Commissioner after July 1, 1971, to be unable or potentially unable to fulfill its contractual obligations.
- (i) “Individual” means a natural person covered under an individual policy or contract or covered as a member or an enrollee under a group policy or contract.
- (j) “Insolvent insurer” means a member insurer that, after July 1, 1971, is placed under an order of liquidation by a court of competent jurisdiction with a finding of insolvency.
(k)
- (1) “Member insurer” means an authorized insurer or a health maintenance organization that is licensed or that holds a certificate of authority to transact in the State any kind of insurance or health maintenance organization business to which this subtitle applies.
- (2) “Member insurer” includes an insurer or a health maintenance organization whose license or certificate of authority in the State may have been suspended, revoked, not renewed, or voluntarily withdrawn.
(3) “Member insurer” does not include:
- (i) a fraternal benefit society;
- (ii) a mandatory State pooling plan;
- (iii) a mutual assessment company or other entity that operates on an assessment basis; or
- (iv) an insurance exchange.
- (l) “Moody's corporate bond yield average” means the monthly average yield on corporate bonds as published by Moody's Investors Service, Inc.
(m)
(1) “Owner” means the owner or holder of a policy or contract who is:
- (i) identified as the legal owner under the terms of the policy or contract or who is otherwise vested with legal title to the policy or contract through a valid assignment completed in accordance with the terms of the policy or contract; and
- (ii) properly recorded as the owner of the policy or contract on the books of the member insurer.
- (2) “Owner” does not include a person who has only a beneficial interest in a policy or contract.
- (n) “Person” includes an individual, a corporation, a limited liability company, a partnership, an association, a governmental body or entity, or a voluntary organization.
(o)
- (1) “Premiums” means amounts received on covered policies or contracts, less premiums, considerations, and deposits returned, and less dividends and experience credits.
- (2) “Premiums” does not include amounts for policies or contracts, or for parts of policies or contracts, for which coverage is not provided under § 9-403(g) of this subtitle.
- (p) “Resident” means a person that resides in the State on the date of entry of a court order that determines a member insurer to be an impaired insurer or a court order that determines a member insurer to be an insolvent insurer and to whom a contractual obligation is owed.
- (q) “Structured settlement annuity” means an annuity purchased in order to fund periodic payments for a plaintiff or any other claimant in payment for or with respect to personal injury suffered by the plaintiff or other claimant.
- (r) “Supplemental contract” means an agreement entered into for the distribution of policy or contract proceeds.
Added by Acts 1996, c. 11, § 1, eff. Oct. 1, 1997. Amended by Acts 1997, c. 57, § 2, eff. Oct. 1, 1997; Acts 2012, c. 66, § 6, eff. April 10, 2012; Acts 2012, c. 633, § 1, eff. Oct. 1, 2012; Acts 2012, c. 634, § 1, eff. Oct. 1, 2012; Acts 2020, c. 73, § 1, eff. Oct. 1, 2020; Acts 2020, c. 74, § 1, eff. Oct. 1, 2020.
Formerly Art. 48A, § 524.