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Session Laws, 1993
Volume 772, Page 597   View pdf image
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WILLIAM DONALD SCHAEFER, Governor

Ch. 9

(f)      (1) On or before March 15 of each year, a carrier shall file an actuarial
certification with the Commissioner that it has followed the rating practices imposed under §
702 of this subtitle.

(2) The certification shall be based on an examination that includes a review of:

(i) Appropriate records; and

(ii) Actuarial assumptions and methods used by the carrier.

(g)     A carrier shall:

(1)     Retain all documents and certifications required under this subtitle at its
principal place of business for a period of 5 years; and

(2)     Make the information and documentation available to the Commissioner on
request.

704.

(a)     (1) A carrier shall issue its health benefit plans to any [small employer] GROUP
OR INDIVIDUAL that meets the requirements of this subsection.

(2)     To be covered under a health benefit plan offered by a carrier, a [small
employer] GROUP OR INDIVIDUAL shall:

(i) Elect to be covered under the plan;

(ii) Agree to make the required premium payments; and

(iii) Satisfy the other reasonable provisions of the plan as approved by the
Commissioner.

(3)     Any requirement used by a carrier in determining whether to provide
coverage to a [small employer] group, including requirements for minimum participation of
[eligible employees] THE GROUP, shall be applied uniformly among all [small employers]
GROUPS with the same number of [eligible employees ] MEMBERS applying for coverage or
receiving coverage from the carrier.

(4)     A carrier may only vary application of minimum participation of [eligible
employees] GROUP MEMBERS by the size of the [small employer] group.

(5)     A carrier may not require minimum employer contributions.

(b)     A carrier that offers coverage to a [small employer ] GROUP shall offer coverage to
all of its [eligible employees ] MEMBERS.

(c)      (1) A health maintenance organization need not offer coverage:

(i) To fa small employer] AN INDIVIDUAL OR GROUP that is not
located in the health maintenance organization's approved service areas;

(ii) To fan eligible employee] A MEMBER OF A GROUP who does not
reside within the health maintenance organization's approved service areas; or

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Session Laws, 1993
Volume 772, Page 597   View pdf image
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