{"data":{"id":"us-md/md.-code-insurance-11-601","jurisdiction":"us-md","citation":"Md. Code, Insurance § 11–601","heading":"","body":"(a) In this subtitle the following words have the meanings indicated.\n(b) “Carrier” means a person that:\n(1) offers a health benefit plan in the State; and\n(2) is:\n(i) an insurer;\n(ii) a nonprofit health service plan; or\n(iii) a health maintenance organization.\n(c) “Contract holder” means a person to which a carrier has issued a health benefit plan.\n(d) (1) “Health benefit plan” means:\n(i) a health insurance contract, a nonprofit health service plan contract, or a health maintenance organization contract that includes benefits for medical care; or\n(ii) a certificate of health insurance issued or delivered to a Maryland resident under a contract issued to an association located in the State or any other state.\n(2) “Health benefit plan” does not include:\n(i) one or more, or any combination of the following:\n1. coverage only for accident or disability income insurance;\n2. coverage issued as a supplement to liability insurance;\n3. liability insurance, including general liability insurance and automobile liability insurance;\n4. workers’ compensation or similar insurance;\n5. automobile medical payment insurance;\n6. credit–only insurance;\n7. coverage for on–site medical clinics; and\n8. other similar insurance coverage, as specified in federal regulations issued pursuant to P.L. 104–191, under which benefits for medical care are secondary or incidental to other insurance benefits;\n(ii) the following benefits if they are provided under a separate policy, certificate, or contract of insurance or are otherwise not an integral part of a health benefit plan:\n1. limited scope dental or vision benefits;\n2. benefits for long–term care, nursing home care, home health care, community–based care, or any combination of these benefits; and\n3. other similar limited benefits as specified in federal regulations issued pursuant to P.L. 104–191;\n(iii) the following benefits if offered as independent, noncoordinated benefits:\n1. coverage only for a specified disease or illness; and\n2. hospital indemnity or other fixed indemnity insurance; or\n(iv) the following benefits if offered as a separate policy, certificate, or contract of insurance:\n1. Medicare supplemental health insurance, as defined in § 1882(g)(1) of the Social Security Act;\n2. coverage supplemental to the coverage provided under Chapter 55 of Title 10, United States Code; and\n3. similar supplemental coverage provided to coverage under an employer sponsored plan.\n(e) “Medical care” means:\n(1) items or services for the diagnosis, cure, mitigation, treatment, or prevention of a disease, injury, or condition affecting any structure or function of the body; and\n(2) transportation primarily for and essential to medical care described in item (1) of this subsection.","path":["Article - Insurance"],"source_url":"https://mgaleg.maryland.gov/mgawebsite/Laws/StatuteText?article=gin\u0026section=11-601","current_through":"2026-01-01","vintage":"","retrieved_at":"2026-09-14T19:59:28Z","sha256":"dbe0de6ff0026449f902beb56e1a41081551b1c72629f35c6404f6ff69956444","source_id":"us-md","stale":false,"prev":"us-md/md.-code-insurance-11-503","next":"us-md/md.-code-insurance-11-602"},"notice":"GroundRules: Original legal text. Not legal advice."}