1392

LAWS OF MARYLAND

[Ch. 276

(1)         THE RATE OF PERIODIC PAYMENT;

(2)            WHEN THE COVERAGE IS EFFECTIVE AND WHAT
RESTRICTIONS, IF ANY, APPLY TO PRE-EXISTING CONDITIONS;

(3)         ALL CRITERIA RELATING TO DISENROLLMENT
OR DENIALS OF RE-ENROLLMENT; AND

(4)         SERVICE PRIORITIES, IF ANY, IN THE EVENT
OF EPIDEMIC OR OTHER EMERGENCY OR CATASTROPHIC CONDITIONS
WHICH MAY EFFECT AN UNTOWARD DEMAND FOR MEDICAL SERVICES.

847.

(A)      THE HEALTH MAINTENANCE ORGANIZATION IS
SUBJECT, AT ALL TIMES, TO THE SUPERVISION OF THE
COMMISSIONER AND THE DEPARTMENT OF HEALTH AND MENTAL
HYGIENE AS PROVIDED IN THIS SUBTITLE. IT IS NOT SUBJECT
TO THE LANS OF THE STATE RELATING TO INSURANCE
CORPORATIONS ENGAGED IN THE BUSINESS OF INSURANCE OR TO
ANY LAW RELATING TO INSURANCE AND CORPORATIONS ENGAGED IN
THE BUSINESS OF INSURANCE, EXCEPT AS PROVIDED IN SECTION
884(E) OF THIS SUBTITLE.

(B)    ANY HEALTH MAINTENANCE ORGANIZATION ALREADY
HAVING RATES BEING CHARGED SUBSCRIBERS OR GROUPS OF
SUBSCRIBERS PRIOR TO THE EFFECTIVE DATE OF THIS SUBTITLE
MUST COMPLY WITH THE REQUIREMENTS OF THIS SUBTITLE BY
JANUARY 1, 1976. HOWEVER, THE COMMISSIONER, FOR GOOD
REASON, MAY EXTEND FOR A REASONABLE TIME THE PERIOD IN
WHICH THE ORGANIZATION MUST ACHIEVE COMPLIANCE.

(C)     ANY ORGANIZATION CONTRACTING WITH THE
DEPARTMENT OF HEALTH AND MENTAL HYGIENE WHICH IS SUBJECT
TO THIS SUBTITLE MUST ACT IN CONCERT WITH THE DEPARTMENT
OF HEALTH AND MENTAL HYGIENE OR WITH THE DEPARTMENT'S
WRITTEN CONSENT CONCERNING ALL INFORMATION REQUIRED BY
THE COMMISSIONER.

(D)     (1) ALL RATES CHARGED SUBSCRIBERS OR GROUPS
OF SUBSCRIBERS BY THE ORGANIZATION, AND THE FORM AND
CONTENT OF ALL CONTRACTS BETWEEN THE ORGANIZATION AND ITS
SUBSCRIBERS OR GROUPS OF SUBSCRIBERS, SHALL BE FILED WITH
THE COMMISSIONER BEFORE THEY BECOME EFFECTIVE.

(2)    RATES MAY NOT BE EXCESSIVE, INADEQUATE,
OR UNFAIRLY DISCRIMINATORY IN RELATION TO THE SERVICES
OFFERED.

(3)    IF THE ORGANIZATION AT ANY TIME DESIRES
TO AMEND ANY CONTRACT WITH ITS SUBSCRIBERS, OR DESIRES TO
CHANGE ANY RATE CHARGED THEREFOR, THE NUMBER OF COPIES OF
THE AMENDMENT OR PATE CHANGE PRESCRIBED BY THE
COMMISSIONER SHALL BE FILED WITH THE COMMISSIONER, WHO