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§ 15-1215. Election of carrier to become risk-assuming or reinsuring carrier

West's Annotated Code of MarylandInsurance

West's Annotated Code of Maryland
Insurance (Refs & Annos)
Title 15. Health Insurance
Subtitle 12. Maryland Health Insurance Reform Act (Refs & Annos)
MD Code, Insurance, § 15-1215
§ 15-1215. Election of carrier to become risk-assuming or reinsuring carrier
Currentness
In general
(a)(1) Each carrier shall elect to become either a risk-assuming carrier or reinsuring carrier.
(2) The notification of election to become a risk-assuming carrier shall include an appropriate opinion by an independent qualified actuary that the risk-assuming carrier is able to assume and manage the risk of enrolling groups under this subtitle without the protection of the Pool.
Initial election binding for three years
(b)(1) The initial election under this section is binding for 3 years.
(2) After the initial 3 years, and every 5 years thereafter, each carrier shall again elect to be either a risk-assuming or reinsuring carrier.
(3) Each subsequent election is binding for 5 years.
(4) The Commissioner may allow a new carrier to make an election under conditions established by the Commissioner.
Change in election for good cause
(c)(1) The Commissioner may allow a carrier to change its election at any time for good cause shown.
(2) In determining whether to approve an application by a carrier to change its election, the Commissioner shall consider:
(i) the applicant's financial condition and the financial condition of any parent or guaranteeing corporation;
(ii) the applicant's history of assuming and managing risk;
(iii) the applicant's commitment to market fairly to all small employers in the State or in the applicant's service area;
(iv) the applicant's ability to assume and manage the risk of enrolling groups under this subtitle without the protection of the Pool; and
(v) the effect of approval of the application on the financial viability of the Pool.
(3) While the Commissioner is considering an application under this subsection, the carrier may request a hearing as provided under Title 11, Subtitle 5 of this article.

Credits

Added by Acts 1997, c. 35, § 2, eff. Oct. 1, 1997.
Formerly Art. 48A, § 706.
MD Code, Insurance, § 15-1215, MD INSURANCE § 15-1215
Current through legislation effective through April 9, 2023, from the 2024 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
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