Health Insurance, first half

What this document is

Maryland Insurance Article Title 15 - Health Insurance, first half (Secs. 15-101 through 15-815) is a state statute published by Maryland General Assembly, Department of Legislative Services (mgaleg.maryland.gov). It is one of the Maryland documents that insurance license exam questions are written from, including maryland life & health practice questions. This page summarizes it and points to the official version, which is the text to rely on.

Sections cited in practice questions

Each practice answer shows the exact passage it comes from. These are sections of this document that questions cite, with a short excerpt from the source text.

• Md. Code Ann., Ins. Title 15 § 15-302(c)(2) (Group Health Insurance - Association Groups)

  “A policy of group health insurance may be issued to an association, including a labor union, that has a constitution and bylaws and that is organized and maintained in good faith for purposes other than that of obtaining insurance, to cover members, employees, or employees of members of the...”

• Md. Code Ann., Ins. Title 15 § 15-405 (Health Insurance Coverage for Child Subject to a Support Order)

  “(d) Notwithstanding any other provision of this article, an entity subject to this section may not deny enrollment of a child under the health insurance coverage of an insuring parent because the child: (1) was born out of wedlock; (2) is not claimed as a dependent on the insuring parent’s federal...”

• Md. Code Ann., Ins. Title 15 § 15-409(c) (Continuation Coverage After Change in Status: Termination Events)

  “Continuation coverage that is elected by or on behalf of the insured under the group contract shall begin on the date of the change in status and end on the earliest of the following: (1) 18 months after the date of the change in status; (2) the date on which the insured fails to make timely...”

• Md. Code Ann., Ins. Title 15 § 15-409(d) (Terms of Continuation Coverage)

  “Continuation coverage under this section shall: (1) be provided without evidence of insurability or additional waiting periods;”

• Md. Code Ann., Ins. Title 15 § 15-404 (Addition of Dependent Children After Death of Spouse)

  “(b) Each policy, contract, or certificate subject to this section shall provide a benefit that allows the addition of a certificate holder’s or subscriber’s dependent children to the certificate holder’s or subscriber’s policy or contract at any time and without evidence of insurability if: (1) the...”

• Md. Code Ann., Ins. Title 15 § 15-413(d) (Conversion to an Individual Policy: Effective Date)

  “An individual policy issued under this section shall take effect immediately after the termination of coverage under the group policy if the covered individual: (i) makes a timely written request for an individual policy; and (ii) pays the first premium for the individual policy.”

• Md. Code Ann., Ins. Title 15 § 15-302(b)(1)(ii) (Group Health Insurance - Eligible Groups, Employee Definition)

  ““Employee” does not include a director of a corporate employer unless the director is otherwise eligible as an employee of the corporation by performing services other than the usual duties of a director.”

• Md. Code Ann., Ins. Title 15 § 15-304(b) (Group Health Insurance - Payment for Services; Choice of Provider)

  “A policy of group health insurance may not require that hospital, nursing, medical, or surgical services be provided by a particular hospital or person.”

• Md. Code Ann., Ins. Title 15 § 15-505 (Home Confinement Benefits and Medical Treatment)

  “A policy or certificate subject to this section that provides coverage for disability or sickness while an individual is confined at home may not exclude payments or benefits because the individual leaves home for medical treatment.”

• Md. Code Ann., Ins. Title 15 § 15-102 (Construction of "Insured")

  “In this title, the word “insured” may not be construed to prevent a person other than the insured with a proper insurable interest from applying for and owning a policy covering the insured or from being entitled under that policy to any indemnities, benefits, and rights provided in the policy.”

• Md. Code Ann., Ins. Title 15 § 15-506 (Maternity Benefits and Marital Status)

  “Each insurer and nonprofit health service plan that provides maternity benefits in a policy form customarily issued on an individual or family basis shall offer the benefits to individuals regardless of marital status.”

• Md. Code Ann., Ins. Title 15 § 15-708(d) (Nurse Anesthetist Benefits, Employment Condition Prohibited)

  “A policy that provides benefits under this section for services rendered by a nurse anesthetist may not require, as a condition for the payment of benefits, that the nurse anesthetist be employed by a physician.”

Practice this material

Questions about this source

More Maryland sources

• Md. Code, Insurance s. 10-104 - License required; insurance producerState statute
• Md. Code, Insurance s. 10-126 - Grounds for denial, suspension, or revocation of licenseState statute
• Md. Code, Insurance s. 27-208 - Unfair discrimination between individuals of the same class in life rates, dividends and benefitsState statute
• Md. Code, Insurance s. 27-209 - Prohibited inducements and rebates not specified in the contractState statute
• Md. Code, Insurance s. 27-216 - Rebating and inducements; willful collection of excess premiumState statute
• Md. Code, Insurance s. 27-405 - Fraudulent insurance act: acting without a licence or certificationState statute
• Maryland Insurance Article Title 10 - Insurance Producers and Other Insurance Professionals (103 sections)State statute
• Maryland Insurance Article Title 15 - Health Insurance, second half (Secs. 15-816 through 15-1704)State statute