- 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.
Authority: Health-General Article, §§19-705(a)(2), and 19-729; Insurance Article, §§2-109(a)(1), 4-113, and 12-20; Annotated Code of Maryland
Effective date: January 14, 2010 (37:1 Md. R. 16)