1398

LAWS OF MARYLAND

[Ch. 276

(B) NO PERSON OR ORGANIZATION MAY DESIGNATE ITS
SERVICES, OPERATIONS OR FUNCTIONS AS A "HEALTH
MAINTENANCE ORGANIZATION[[,"]]", OR USE ANY OTHER TITLE
OR DESIGNATION IF THE ARRANGEMENT OF SERVICES,
OPERATIONS, OR FUNCTIONS SUBSTANTIALLY FALL UNDER THE
DEFINITION OF A HEALTH MAINTENANCE ORGANIZATION AS
PROVIDED IN SECTION 842 OF THIS SUBTITLE, EXCEPT AS
AUTHORIZED BY THE COMMISSIONER IN COMPLIANCE WITH THIS
SUBTITLE.

854.

ANY CORPORATION OR ORGANIZATION REGULATED BY THE
PROVISIONS OF SECTIONS 354 THROUGH 361A, INCLUSIVE, OF
ARTICLE 48A OF THIS CODE, OR REGULATED BY ANY OTHER LAW,
WHOSE OPERATIONS OR FUNCTIONS ARE ALSO SUBJECT TO
REGULATION BY THIS SUBTITLE, ARE SUBJECT TO THIS
SUBTITLE, NOTWITHSTANDING THE OTHER PROVISIONS IN ARTICLE
48A OR OTHER LAW. THIS SECTION EXPRESSLY APPLIES TO
THOSE CORPORATIONS GOVERNED BY THE PROVISIONS OF SECTION
354 OF ARTICLE 48A, BUT ONLY IF THOSE CORPORATIONS ARE
HEALTH MAINTENANCE ORGANIZATIONS AS DEFINED IN SECTION
842 OF THIS SUBTITLE.

855.

(A)    EVERY HEALTH MAINTENANCE ORGANIZATION SHALL
PROVIDE ANNUALLY TO ITS MEMBERS AND MAKE AVAILABLE TO THE
GENERAL PUBLIC:

(1)       A STATEMENT OF FINANCIAL CONDITION
INCLUDING A BALANCE SHEET AND SUMMARY OF RECEIPTS AND
DISBURSEMENTS;

(2)     A DESCRIPTION OF THE BENEFIT PACKAGES
AVAILABLE AND THE NONGROUP RATES REQUIRED BY THE
COMMISSIONER;

(3)     A DESCRIPTION OF THE ACCESSIBILITY AND
AVAILABILITY OF SERVICES, INCLUDING WHERE AND HOW TO
OBTAIN THEM;

(4)     A STATEMENT DISCLOSING BY CATEGORY THE
PERCENT OF MEMBERS ASSISTED BY PUBLIC FUNDS; AND

(5)     OTHER INFORMATION THE COMMISSIONER
AND/OR THE DEPARTMENT OF HEALTH AND MENTAL HYGIENE BY
REGULATION PRESCRIBE IN ACCORDANCE WITH THEIR JOINT
INTERNAL ADMINISTRATIVE RULES AND PROCEDURES.

(B)     THIS INFORMATION SHALL BE PRESENTED IN A
CLEAR, READABLE, AND CONCISE FORM AND SHALL INCLUDE, AT A
MINIMUM, ALL OF THE MATERIAL ELEMENTS REQUIRED OF
CONTRACTS WITH SUBSCRIBERS.