Ch. 257                                        2004 LAWS OF MARYLAND

6. impact the availability or afford ability of health care in

the State.]

1. MATERIALLY MODIFY OPTIONS AVAILABLE IN BENEFIT
PLANS MARKETED IN THE STATE;

2. MATERIALLY MODIFY MARYLAND PROVIDER NETWORKS
OR MARYLAND PROVIDER REIMBURSEMENT LEVELS;

3. MATERIALLY MODIFY UNDERWRITING GUIDELINES FOR
PRODUCTS MARKETED IN THE STATE;

4. MATERIALLY MODIFY RATES OR RATING PLANS THAT ARE
REQUIRED TO BE APPROVED BY THE COMMISSIONER;

5.       WITHDRAW;

A.      A PRODUCT FROM THE MARYLAND MARKET;

B.      FROM A LINE OR TYPE OF BUSINESS; OR

C.      FROM A GEOGRAPHIC REGION IN THE STATE;

6. MATERIALLY MODIFY MARKETING GOALS AND
OBJECTIVES IN THE STATE; OR

7. MATERIALLY IMPACT THE AVAILABILITY OR
AFFORDABILITY OF HEALTH CARE IN THE STATE.

1. [modify benefit levels] MATERIALLY MODIFY OPTIONS
AVAILABLE IN BENEFIT PLANS MARKETED IN THE STATE;

2. materially modify MARYLAND provider networks or
MARYLAND provider reimbursement LEVELS;

3. MATERIALLY modify underwriting guidelines FOR
PRODUCTS MARKETED IN THE STATE;

4. MATERIALLY modify rates or rating plans THAT ARE
REQUIRED TO BE APPROVED BY THE COMMISSIONER;

5. ADD A PRODUCT TO OR withdraw a product FROM THE
MARYLAND MARKET, [or] withdraw from a line or type of business IN THE STATE, or
WITHDRAW FROM A geographic region IN THE STATE; [or]

6. MATERIALLY MODIFY MARKETING GOALS AND
OBJECTIVES IN THE STATE; OR

[6.] 7. MATERIALLY impact the availability or affordability
of health care in the State.

(II) THE COMMISSIONER SHALL ADOPT REGULATIONS THAT
DEFINE "MATERIAL" FOR PURPOSES OF SUBPARAGRAPH (I) OF THIS PARAGRAPH.

- 954 -