Code of Maryland Regulations
Title 31 - MARYLAND INSURANCE ADMINISTRATION
Subtitle 11 - HEALTH INSURANCE - GROUP
Chapter 31.11.05 - Group Health Insurance Options for Alzheimer's Disease and for Diseases of the Elderly
Section 31.11.05.02 - Definitions

(1) "Alzheimer's disease" means a progressive brain disease diagnosed as Alzheimer's disease by the insured's licensed attending physician and confirmed by a second opinion of a licensed physician.

(2) "Diseases of the elderly" means any disease, illness, injury, or medical condition which has caused the elderly insured to become functionally impaired or disabled so as to require nursing home care or intermediate or custodial nursing care and which has been confirmed by a second opinion of a licensed physician.

(3) "Elderly" means an insured who is 65 years old or older.

(4) "Group health insurance policy" means an insurance policy issued in Maryland either:

(5) "Group of persons" means the types of groups as defined in Insurance Article, § 15-302, Annotated Code of Maryland.

(6) "Insured" means a person covered under a group health insurance policy.

(7) "Intermediate or custodial nursing care" means any form of health or health-related service, whether provided in a custodial or noncustodial setting, which is designed to provide therapeutic, rehabilitative, supportive, or maintenance care to a person who has chronic or deteriorating medical conditions which impair the person's ability to function at his or her own optimum level, but not including treatment of the conditions during the initial, acute stage of the condition or conditions.

(8) "Nursing home" means a facility or institution or part of it that: