ROBERT L. EHRLICH, JR., Governor                             Ch. 257

2. in accordance with the charter of the nonprofit health
service plan, seeks to provide affordable and accessible health insurance; and

3. IN ACCORDANCE WITH THE CHARTER OF THE NONPROFIT
HEALTH SERVICE PLAN, recognizes a responsibility to contribute to the improvement
of the overall health status of [Maryland residents] THE RESIDENTS OF THE
JURISDICTIONS IN WHICH IT OPERATES;

(ii) that:

1. each contract executed or proposed to be executed by the
applicant and a health care provider to furnish health care services 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
between 1 and 10,000 covered lives in the State, the nonprofit health service plan's
corporate headquarters is located in the State.

(b) If the Commissioner determines that a nonprofit health [services]
SERVICE plan does not continue to satisfy the requirements of this subtitle, the
Commissioner may disapprove the renewal of the certificate of authority of the
nonprofit health service plan.

(C) THE COMMISSIONER SHALL CONSIDER AN ENTITY'S INABILITY TO
COMPLY WITH THE REQUIREMENTS OF § 14-102(C) OF THIS SUBTITLE AS A RESULT
OF A CONFLICT WITH THE LEGISLATIVELY ENACTED CHARTER OF THE ENTITY OR
THE LAWS OR ADMINISTRATIVE RULES OR REGULATIONS OF THE JURISDICTION OF
DOMICILE OF THE ENTITY IN DETERMINING WHETHER TO ISSUE OR RENEW A
CERTIFICATE OF AUTHORITY UNDER THIS SECTION.

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