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§ 15-1409. Carriers electing not to renew type of coverage or policy form

West's Annotated Code of MarylandInsuranceEffective: June 1, 2017

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, 2017
MD Code, Insurance, § 15-1409
§ 15-1409. Carriers electing not to renew type of coverage or policy form
Currentness
“Product” defined
(a) In this section, “product” means a discrete package of health benefits that are offered using a particular product network type within a geographic service area.
Notice of nonrenewal
(b) A carrier that elects not to renew all of a particular product in the State shall:
(1) provide notice of the nonrenewal at least 90 days before the date of the nonrenewal to each affected:
(i) policyholder;
(ii) plan sponsor;
(iii) participant; and
(iv) beneficiary;
(2) offer to each affected plan sponsor the option to purchase any other health insurance coverage currently being offered by the carrier; and
(3) act uniformly without regard to the claims experience of any affected plan sponsor, or any health status-related factor of any affected individual.
Election not to renew all group health benefit plans in State
(c) A carrier may elect not to renew all group health benefit plans in the State.
Notice of nonrenewal of all group health benefit plans in State
(d) When a carrier elects not to renew all group health benefit plans in the State, the carrier:
(1) shall give notice of its decision to the affected individuals at least 180 days before the effective date of nonrenewal;
(2) at least 30 working days before that notice, shall give notice to the Commissioner; and
(3) may not write new business for groups in the State for a 5-year period beginning on the date of notice to the Commissioner.
Individuals not living, residing, or working within approved service areas
(e) A health maintenance organization need not offer coverage to an individual who does not live, reside, or work within the health maintenance organization's approved service areas.
Uniform modification of coverage
(f) A carrier may make a uniform modification of coverage for a product only at the time of renewal of a health benefit plan.
Carrier renewal of health benefits
(g) A carrier will not be considered to have elected not to renew all group health benefit plans in the State if the carrier complies with 45 C.F.R. § 147.106(d)(3).

Credits

Added by Acts 1997, c. 294, § 3, eff. Oct. 1, 1997. Amended by Acts 2015, c. 363, § 1, eff. May 12, 2015; Acts 2017, c. 720, § 1, eff. June 1, 2017.
MD Code, Insurance, § 15-1409, MD INSURANCE § 15-1409
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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