2013 Maryland Code
INSURANCE
§ 15-507 - Coverage required for preexisting conditions [Effective until January 1, 2014].

§15-507.

(a) (1) This section applies to each group or blanket health insurance contract or policy that is issued or delivered in the State to an employer by an insurer or nonprofit health service plan and that provides hospital, medical, or surgical benefits on an expense-incurred basis.

(2) This section does not apply to a health insurance contract or policy that is issued to a small employer under Subtitle 12 of this title.

(b) Subject to subsections (c) and (d) of this section, an insurer or nonprofit health service plan shall provide coverage to an individual under a contract or policy subject to this section regardless of the health of the individual if:

(1) the individual had coverage under a prior contract or policy issued by the insurer or nonprofit health service plan; and

(2) within 30 days after the coverage under the prior contract or policy terminates, the individual becomes eligible for and accepts coverage from the insurer or nonprofit health service plan under the subsequent contract or policy.

(c) An insurer or nonprofit health service plan may exclude coverage under a contract or policy subject to this section for a medical condition of an individual who obtains coverage under subsection (b) of this section to the extent that:

(1) the contract or policy is issued as part of a group contract; and

(2) the exclusion is applicable to each individual insured under the group contract.

(d) (1) Subject to paragraph (2) of this subsection, an insurer or nonprofit health service plan that issues a subsequent contract or policy to an individual under subsection (b) of this section shall waive a waiting period for coverage of a preexisting condition under the subsequent contract or policy to the extent that the individual has satisfied a waiting period under the individual’s prior contract or policy with the insurer or nonprofit health service plan.

(2) If any part of the waiting period under the individual’s prior contract or policy has not been satisfied, the insurer or nonprofit health service plan may require the individual to satisfy the remaining part of the waiting period under the subsequent contract or policy, unless the subsequent contract or policy has a shorter waiting period.

(e) This section does not prohibit an insurer or nonprofit health service plan from requiring an individual who was previously insured by the insurer or nonprofit health service plan to complete an application that includes information about the individual’s health when applying for subsequent coverage.

§ 15-507 - Coverage required for preexisting conditions (Repealed effective January 1, 2014)

Repealed by Acts 2013, ch. 106, § 1, effective January 1, 2014.