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Ch. 242 2006 LAWS OF MARYLAND
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CHAPTER 242
(Senate Bill 284)
AN ACT concerning
Health Insurance - Maryland Health Insurance Plan - Authority
FOR the purpose of authorizing the Board of Directors of the Maryland Health
Insurance Plan to alter premium rates based on plan delivery systems;
requiring certain carriers to provide certain information to the Maryland Health
Insurance Plan; prohibiting certain provisions of this Act from taking effect
until the receipt of a certain determination; requiring the Executive Director of
the Maryland Health Insurance Plan to provide a certain notice; and generally
relating to the Maryland Health Insurance Plan.
BY repealing and reenacting, with amendments,
Article - Insurance
Section 14-505 and 15-1303
Annotated Code of Maryland
(2002 Replacement Volume and 2005 Supplement)
SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That the Laws of Maryland read as follows:
Article - Insurance
14-505.
(a) (1) The Board shall establish a standard benefit package to be offered by
the Plan.
(2) The Board may exclude from the benefit package:
(i) a health care service, benefit, coverage, or reimbursement for
covered health care services that is required under this article or the Health -
General Article to be provided or offered in a health benefit plan that is issued or
delivered in the State by a carrier; or
(ii) reimbursement required by statute, by a health benefit plan for
a service when that service is performed by a health care provider who is licensed
under the Health Occupations Article and whose scope of practice includes that
service.
(b) (1) The Board shall establish a premium rate for Plan coverage subject to
review and approval by the Commissioner.
(2) The premium rate may vary on the basis of family composition.
(3) If the Board determines that a standard risk rate would create
market dislocation, the Board may adjust the premium rate based on member age.
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