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§ 2-517. Carrier powers and duties

West's Annotated Code of MarylandState Personnel and PensionsEffective: June 1, 2008

West's Annotated Code of Maryland
State Personnel and Pensions (Refs & Annos)
Division I. State Personnel [Titles 1-19]
Title 2. State Employment Generally
Subtitle 5. Health and Welfare Benefits Program (Refs & Annos)
Effective: June 1, 2008
MD Code, State Personnel and Pensions, § 2-517
§ 2-517. Carrier powers and duties
Currentness
Carrier defined
(a) In this section, “carrier” means:
(1) a health insurer;
(2) a nonprofit health service plan;
(3) a health maintenance organization; and
(4) a dental plan organization.
Application of section
(b) This section does not apply to a fixed indemnity health insurance policy or contract if the premiums are paid solely by an individual.
Information about individuals eligible for benefits under Program or Program recipients
(c)(1) A carrier shall provide, at the request of the Department, information about individuals who are eligible for benefits under the Program or are Program recipients so that the Department may determine whether the individual is receiving health care coverage from the carrier and the nature of that coverage.
(2) A carrier shall provide the information required under this subsection in a manner prescribed by the Department, in accordance with the standard data elements for standard transactions required under 42 U.S.C. § 1320d-4 as adopted by the Secretary of Health and Human Services.
Program’s right of recovery and assignments to Program
(d) A carrier shall accept the Program's right of recovery and the assignment to the Program of any right of an individual or other entity to payment from the carrier for an item or service for which payment has been made under the Program if the carrier has a legal obligation to make payment for the item or service.
Rejection, cancellation, refusals to renew policies or contracts prohibited
(e) A carrier may not reject, deny, limit, cancel, refuse to renew, increase the rates of, affect the terms or conditions of, or otherwise affect a health insurance policy or contract for a reason based wholly or partly on:
(1) the eligibility of an individual to receive benefits under the Program; or
(2) the receipt by an individual of benefits under the Program.

Credits

Added by Acts 2008, c. 406, § 1, eff. June 1, 2008; Acts 2008, c. 407, § 1, eff. June 1, 2008.
MD Code, State Personnel and Pensions, § 2-517, MD ST PERS & PENS § 2-517
Current through legislation effective through May 9, 2024, from the 2024 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
End of Document