(a) In this subtitle the following words have the meanings indicated. (b) "Carrier" means: (1) an insurer that holds a certificate of authority in the State and provides health insurance in the State; (2) a health maintenance organization that is licensed to operate in the State; (3) a nonprofit health service plan that is licensed to operate in the State; or (4) any other person or organization that provides health benefit plans subject to State insurance regulation. (c) "Child" means: (1) a natural child, a stepchild, a foster child, or an adopted child of the insured; or (2) a child placed with the insured for legal adoption. (d) "Essential health benefit" means a health benefit that: (1) meets the criteria established under § 1302(b) of the Affordable Care Act; or (2) if the Commissioner adopts regulations as described in § 15-1A- 04 of this subtitle, meets the criteria established by the adopted regulations. (e) "Grandfathered plan" means a health benefit plan that: (1) meets the criteria established under 45 C.F.R. § 147.140 and any corresponding federal rules and guidance as those provisions were in effect December 31, 2024; or (2) if the Commissioner adopts regulations as described in § 15-1A- 03 of this subtitle, meets the criteria established by the adopted regulations. (f) "Group plan" means a small group plan or a large group plan. (g) "Health benefit plan" means an individual plan, a small group plan, or a large group plan. (h) "Individual plan" means an individual health benefit plan as defined in § 15-1301(o) of this title. (i) "Insured individual" means: (1) an insured, an enrollee, a subscriber, a participant, a member, or a beneficiary of a health benefit plan; or (2) any covered dependent of a health benefit plan. (j) "Large group plan" means a health benefit plan as defined in § 15-1401 of this title. (k) "Small group plan" means a health benefit plan as defined in § 15-1201 of this title.
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