ROBERT L. EHRLICH, JR., Governor Ch. 357
1. IS COMMITTED TO A NONPROFIT CORPORATE
STRUCTURE;
2. SEEKS TO PROVIDE INDIVIDUALS, BUSINESSES, AND
OTHER GROUPS WITH THE MOST AFFORDABLE AND ACCESSIBLE HEALTH
INSURANCE POSSIBLE; AND
3. RECOGNIZES A RESPONSIBILITY TO CONTRIBUTE TO THE
IMPROVEMENT OF THE OVERALL HEALTH STATUS OF MARYLAND RESIDENTS;
(ii) that:
1. each contract executed or proposed to be executed by the
applicant and a health care provider to furnish health care service to subscribers to
the nonprofit health service plan, obligates or, when executed, will obligate each
health-care provider party to the contract to render the health care services to which
each subscriber is entitled under the terms and conditions of the various contracts
issued or proposed to be issued by the applicant to subscribers to the plan; and
2. each subscriber is entitled to reimbursement for podiatric,
chiropractic, psychological, or optometric services, regardless of whether the service is
performed by a licensed physician, licensed podiatrist, licensed chiropractor, licensed
psychologist, or licensed optometrist;
(iii) that:
1. each contract issued or proposed to be issued to
subscribers to the plan is in a form approved by the Commissioner; and
2. the rates charged or proposed to be charged for each form
of each contract are fair and reasonable;
(iv) that the applicant has a surplus, as defined in § 14-117 of this
subtitle, of the greater of:
1. $100,000; and
2. an amount equal to that required under § 14-117 of this
subtitle; and
(v) that, except for a nonprofit health service plan that insures
[fewer than] BETWEEN 1 AND 10,000 covered lives in the State, the nonprofit health
service plan's corporate headquarters is located in the State.
(B) THE COMMISSIONER MAY NOT RENEW THE CERTIFICATE OF AUTHORITY
OF A NONPROFIT HEALTH SERVICE PLAN UNLESS THE COMMISSIONER DETERMINES
THAT THE PLAN' CONTINUES TO SATISFY THE REQUIREMENTS OF THIS SUBTITLE.
(B) IF THE COMMISSIONER DETERMINES THAT A NONPROFIT HEALTH
SERVICES PLAN DOES NOT CONTINUE TO SATISFY THE REQUIREMENTS OF THIS
SUBTITLE, THE COMMISSIONER MAY DISAPPROVE THE RENEWAL OF THE
CERTIFICATE OF AUTHORITY OF THE PLAN.
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