§ 15-1a-01

(a) In this subtitle the following words have the meanings indicated. (b) 'Carrier' means: (1) an insurer that holds a certificate of authority in the State and provides health insurance in the State; (2) a health maintenance organization that is licensed to operate in the State; (3) a nonprofit health service plan that is licensed to operate in the State; or (4) any other person or organization that provides health benefit plans subject to State insurance regulation. (c) 'Child' means: (1) a natural child, a stepchild, a foster child, or an adopted child of the insured; or (2) a child placed with the insured for legal adoption. (d) 'Essential health benefit' means a health benefit that: (1) meets the criteria established under § 1302(b) of the Affordable Care Act; or (2) if the Commissioner adopts regulations as described in § 15–1A–04 of this subtitle, meets the criteria established by the adopted regulations. (e) 'Grandfathered plan' means a health benefit plan that: (1) meets the criteria established under 45 C.F.R. § 147.140 and any corresponding federal rules and guidance as those provisions were in effect December 1, 2019; or (2) if the Commissioner adopts regulations as

e criteria established under 45 C.F.R. § 147.140 and any corresponding federal rules and guidance as those provisions were in effect December 1, 2019; or (2) if the Commissioner adopts regulations as described in § 15–1A–03 of the subtitle, meets the criteria established by the adopted regulations. (f) 'Group plan' means a small group plan or a large group plan. (g) 'Health benefit plan' means an individual plan, a small group plan, or a large group plan. (h) 'Individual plan' means an individual health benefit plan as defined in § 15–1301(o) of this title. (i) 'Insured individual' means: (1) an insured, an enrollee, a subscriber, a participant, a member, or a beneficiary of a health benefit plan; or (2) any covered dependent of a health benefit plan. (j) 'Large group plan' means a health benefit plan as defined in § 15–1401 of this title. (k) 'Small group plan' means a health benefit plan as defined in § 15–1201 of this title.