Ch. 9

1993 LAWS OF MARYLAND

(2) IF THE LOSS RATIO OF A NONPROFIT HEALTH SERVICE PLAN IS LESS
THAN 75 PERCENT OR IF THE EXPENSE RATIO OF A NONPROFIT HEALTH SERVICE
PLAN IS MORE THAN 13 18 PERCENT, THE COMMISSIONER MAY REQUIRE THE
NONPROFIT HEALTH SERVICE PLAN TO FILE NEW RATES FOR ITS HEALTH BENEFIT
PLANS.

707. 713.

THIS SUBTITLE MAY BE CITED AS THE "MARYLAND HEALTH INSURANCE
REFORM ACT".

Article - Health - General

19-706.

(H) THE PROVISIONS OF ARTICLE 48A, SUBTITLE 55 SHALL APPLY TO HEALTH
MAINTENANCE ORGANIZATIONS.

19-714.

Each marketing document that sets forth the health care services of a health
maintenance organization shall describe fully and clearly:

(1)     The health care services under each benefit package and every other
benefit to which a member is entitled;

(2)     Where and how services may be obtained;

(3) Each exclusion or limitation on any service or other benefit that it
provides;

                (4) Each deductible feature; [and]

(5)     Each copayment [provision] PROVISION; AND

(6)      ALL INFORMATION REQUIRED BY ARTICLE 48A, § 703(C) OF THE
CODE.

19-716.

Annually, each health maintenance organization shall provide to its members and
make available to the general public, in clear, readable, and concise form:

(1)     A summary of the most recent financial report that the health
maintenance organization submits to the Commissioner under § 19-717 of this subtitle;

(2)     A description of the benefit packages available and the nongroup rates
required by the Commissioner;

(3)     A description of the accessibility and availability of services, including
where and how to obtain them;

(4)     A statement that shows, by category, the percentage of members assisted
by public funds; [and]

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