§ 15-1212. Renewals, nonrenewals, or cancellation of health benefit plans
West's Annotated Code of MarylandInsuranceEffective: April 5, 2018
Effective: April 5, 2018
MD Code, Insurance, § 15-1212
§ 15-1212. Renewals, nonrenewals, or cancellation of health benefit plans
(b) Changes in benefits made in accordance with federal or State requirements are not subject to the plus or minus 2 percentage points referenced in 45 C.F.R. § 147.106(e)(3)(v).
(c) The combination of all plans offered with a product constitutes the total service area of the product.
(d)(1) With respect to a plan that has been modified at the time of coverage renewal consistent with this section, the plan shall be considered to be the same plan if:
(e)(1) Except as provided in subsections (f), (g), and (h) of this section, a carrier shall renew a health benefit plan at the option of the small employer.
(f) A carrier may cancel or refuse to renew a health benefit plan only:
(5) in the case of a health maintenance organization, where there is no longer any enrollee who lives, resides, or works in the health maintenance organization's approved service area, provided notice of the termination is provided to each small employer and to each employee covered under the health benefit plan at least 90 calendar days before the date coverage will be terminated.
(g) When a carrier elects not to renew all health benefit plans in the State, the carrier:
(h) When a carrier elects not to renew a particular product for all small employers in the State, the carrier shall:
(i) Within 7 days after cancellation or nonrenewal of a health benefit plan, the carrier shall send to each enrolled employee written notice of its action.
(j) A carrier may make a uniform modification of coverage for a product only at the time of renewal of the health benefit plan.
Credits
Added by Acts 1997, c. 35, § 2, eff. Oct. 1, 1997. Amended by Acts 1997, c. 300, § 1, eff. Oct. 1, 1997; Acts 1997, c. 420, § 1, eff. Oct. 1, 1997; Acts 1998, c. 376, § 1, eff. July 1, 1998; Acts 1998, c. 377, § 1, eff. July 1, 1998; Acts 1998, c. 537, § 1, eff. Oct. 1, 1998; Acts 2000, c. 32, § 1, eff. July 1, 2000; Acts 2005, c. 25, § 13, eff. April 12, 2005; Acts 2005, c. 347, § 1, eff. Oct. 1, 2005; Acts 2014, c. 23, § 1, eff. July 1, 2014; Acts 2014, c. 45, § 1, eff. April 8, 2014; Acts 2015, c. 363, § 1, eff. May 12, 2015; Acts 2017, c. 720, § 1, eff. June 1, 2017; Acts 2018, c. 12, § 1, eff. April 5, 2018.
MD Code, Insurance, § 15-1212, MD INSURANCE § 15-1212
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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