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ROBERT L. EHRLICH, JR., Governor Ch. 26
premium rate on renewal of a health benefit plan by more than a certain
percentage of the rate charged in the preceding year; repealing a certain limit on
the rate a carrier may charge based on adjustments to the community rate;
authorizing a carrier to use certain health statements and health screenings to
establish certain premium rates; prohibiting a carrier from limiting coverage or
refusing to issue a health benefit plan to a certain small employer based on a
health status related factor; establishing that it is an unfair trade practice for a
carrier to knowingly provide coverage to a small employer that discriminates
against certain individuals under certain circumstances; providing for the
application of this Act; and generally relating to health benefit plans offered in
the small group market.
FOR the purpose of altering the date by which the Joint Legislative Task Force on
Small Group Market Health Insurance is required to submit a certain report to
the presiding officers and certain committees of the General Assembly;
requiring the Task Force to study and make recommendations regarding certain
additional issues; and generally relating to the Joint Legislative Task Force on
Small Group Market Health Insurance.
BY repealing and reenacting, with amendments,
Article—Insurance
Section 15 1205
Annotated Code of Maryland
(2002 Replacement Volume and 2005 Supplement)
BY repealing and reenacting, with amendments.
Chapter 409 of the Acts of the General Assembly of 2005
Section 1(f)
SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That the Laws of Maryland read as follows:
Article—Insurance
15 1205.
(a) (1) In establishing a community rate for a health benefit plan, a carrier
shall use a rating methodology that is based on the experience of all risks covered by
that health benefit plan without regard to [health status or occupation or] any
[other] factor not specifically authorized under this subsection.
(2) [A] SUBJECT TO PARAGRAPHS (1), (5), AND (6) OF THIS SUBSECTION,
A carrier may adjust the community rate only for:
(i) age; [and]
(ii) geography based on the following contiguous areas of the State:
1. the Baltimore metropolitan area;
2. the District of Columbia metropolitan area;
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