(a) In this subtitle the following words have the meanings indicated. (b) "Carrier" means a person that: (1) offers a health benefit plan in the State; and (2) is: (i) an insurer; (ii) a nonprofit health service plan; or (iii) a health maintenance organization. (c) "Contract holder" means a person to which a carrier has issued a health benefit plan. (d) (1) "Health benefit plan" means: (i) a health insurance contract, a nonprofit health service plan contract, or a health maintenance organization contract that includes benefits for medical care; or (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. (2) "Health benefit plan" does not include: (i) one or more, or any combination of the following: 1. coverage only for accident or disability income insurance; 2. coverage issued as a supplement to liability insurance; 3. liability insurance, including general liability insurance and automobile liability insurance; 4. workers' compensation or similar insurance; 5. automobile medical payment insurance; 6. credit-only insurance; 7. coverage for on-site medical clinics; and 8. 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; (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: 1. limited scope dental or vision benefits; 2. benefits for long-term care, nursing home care, home health care, community-based care, or any combination of these benefits; and 3. other similar limited benefits as specified in federal regulations issued pursuant to P.L. 104-191; (iii) the following benefits if offered as independent, noncoordinated benefits: 1. coverage only for a specified disease or illness; and 2. hospital indemnity or other fixed indemnity insurance; or (iv) the following benefits if offered as a separate policy, certificate, or contract of insurance: 1. Medicare supplemental health insurance, as defined in § 1882(g)(1) of the Social Security Act; 2. coverage supplemental to the coverage provided under Chapter 55 of Title 10, United States Code; and 3. similar supplemental coverage provided to coverage under an employer sponsored plan. (e) "Medical care" means: (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 (2) transportation primarily for and essential to medical care described in item (1) of this subsection.
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