Code of Maryland Regulations (Last Updated: April 6, 2021) |
Title 31. Maryland Insurance Administration |
Subtitle 10. HEALTH INSURANCE—GENERAL |
Chapter 31.10.33. Utilization Review of Surgical Treatment of Morbid Obesity |
Sec. 31.10.33.02. Definitions
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A. In this chapter, the following terms have the meanings indicated.
B. Terms Defined.
(1) "Body mass index" has the meaning stated in Insurance Article, §15-839, Annotated Code of Maryland.
(2) "Carrier" means an insurer, a nonprofit health service plan, or a health maintenance organization.
(3) "Commissioner" means the Maryland Insurance Commissioner.
(4) "Health maintenance organization" has the meaning stated in Health-General Article, §19-701, Annotated Code of Maryland.
(5) "Insurer" has the meaning stated in Insurance Article, §1-101, Annotated Code of Maryland.
(6) "Member" means an individual who is covered by a contract that:
(a) Is issued or delivered by a carrier in the State; and
(b) Includes a benefit for the surgical treatment of morbid obesity.
(7) "Morbid obesity" has the meaning stated in Insurance Article, §15-839, Annotated Code of Maryland.
(8) "Nonprofit health service plan" means a person who has received a certificate of authority from the Commissioner to act as a nonprofit health service plan in the State.
(9) "Private review agent" has the meaning stated in Insurance Article, §15-10B-01, Annotated Code of Maryland.
(10) "Utilization review" has the meaning stated in Insurance Article, §15-10B-01, Annotated Code of Maryland.