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§ 15-1411. Disclosure of aggregate incurred claims to large employers

West's Annotated Code of MarylandInsuranceEffective: June 1, 2016

West's Annotated Code of Maryland
Insurance (Refs & Annos)
Title 15. Health Insurance
Subtitle 14. Maryland Health Insurance Portability and Accountability Act--Large Group Market Reforms (Refs & Annos)
Effective: June 1, 2016
MD Code, Insurance, § 15-1411
§ 15-1411. Disclosure of aggregate incurred claims to large employers
Currentness
Definitions
(a)(1) In this section the following words have the meanings indicated.
(2) “Aggregate incurred claims” means the total claims incurred in the experience period that the carrier uses to experience rate a large employer's health benefit plan.
(3) “Experience rating” means that a carrier develops the premium rates for an employer's health benefit plan based in whole or in part on the claims experience of the group that consists of the employer's employees or employees' dependents.
(4) “Large employer” means an employer that is not a small employer as defined in § 31-101 of this article.
Disclosure of the aggregate incurred claims after request from a large employer
(b) If a carrier is experience rating a large employer's health benefit plan, the carrier shall disclose the aggregate incurred claims of the group to the large employer within 30 days after receipt of a request from the large employer.
Format of disclosure shall be in compliance with privacy requirements
(c) The aggregate incurred claims required to be disclosed under subsection (b) of this section shall be provided in a format that complies with the privacy requirements of the federal Health Insurance Portability and Accessibility Act.

Credits

Added by Acts 2016, c. 54, § 1, eff. June 1, 2016; Acts 2016, c. 55, § 1, eff. June 1, 2016.
MD Code, Insurance, § 15-1411, MD INSURANCE § 15-1411
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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