§ 15-1207. Comprehensive Standard Health Benefit Plan
West's Annotated Code of MarylandInsuranceEffective: January 1, 2014
Effective: January 1, 2014
MD Code, Insurance, § 15-1207
§ 15-1207. Comprehensive Standard Health Benefit Plan
(a) In accordance with Title 19, Subtitle 1 of the Health--General Article, the Commission shall adopt regulations that specify:
(b)(1) Subject to paragraph (2) of this subsection, the Commission shall exclude or limit benefits or adjust cost-sharing arrangements in the Standard Plan if the average rate for the Standard Plan exceeds 10% of the average annual wage in the State.
(c) In establishing benefits, the Commission shall judge preventive services, medical treatments, procedures, and related health services based on:
(d) The Commission may exclude:
(e) The Commission shall include mental health and substance abuse benefits required under § 15-802 of this title and § 19-703.1 of the Health--General Article for employers that meet the large employer definition under § 15-802 of this title and § 19-703.1 of the Health--General Article.
(f) The Commission shall specify the deductibles and cost-sharing associated with the benefits in the Standard Plan.
(g) In establishing cost-sharing as part of the Standard Plan, the Commission shall:
Credits
Added by Acts 1997, c. 35, § 2, eff. Oct. 1, 1997. Amended by Acts 1997, c. 698, § 1, eff. Oct. 1, 1997; Acts 2000, c. 400, § 1, eff. June 1, 2000; Acts 2003, c. 93, § 1, eff. July 1, 2003; Acts 2004, c. 287, § 2, eff. July 1, 2004; Acts 2004, c. 386, § 1, eff. July 1, 2004; Acts 2007, 1st Sp. Sess., c. 7, § 4, eff. July 1, 2008; Acts 2009, c. 577, § 2, eff. Oct. 1, 2009; Acts 2009, c. 578, § 2, eff. Oct. 1, 2009; Acts 2011, c. 3, § 1, eff. July 1, 2011; Acts 2011, c. 4, § 1, eff. July 1, 2011; Acts 2013, c. 368, § 2, eff. Jan. 1, 2014.
Formerly Art. 48A, §§ 698, 700.
MD Code, Insurance, § 15-1207, MD INSURANCE § 15-1207
Current with all legislation from the 2023 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
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