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Session Laws, 2005
Volume 752, Page 1457   View pdf image
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ROBERT L. EHRLICH, JR., Governor                             Ch. 281 (1)      FOR THE MEDICARE PART D PRESCRIPTION DRUG PLAN OR
MEDICARE ADVANTAGE PLAN DRUG-RELATED PREMIUM: (I)      FOR INDIVIDUALS WHO DO NOT QUALIFY FOR A FEDERAL
LOW-INCOME SUBSIDY, AT LEAST $25 PER ENROLLEE PER MONTH; AND (II)     FOR INDIVIDUALS WHO QUALIFY FOR A PARTIAL FEDERAL
LOW-INCOME SUBSIDY, THE LESSER OF: 1. THE AMOUNT PROVIDED UNDER ITEM (I) OF THIS ITEM;
OR 2. THE FULL AMOUNT OF THE ENROLLEE SHARE OF THE
PREMIUM; AND (2)      FOR THE MEDICARE PART D PRESCRIPTION DRUG PLAN OR
MEDICARE ADVANTAGE PLAN DRUG-RELATED DEDUCTIBLE, THE TOTAL AMOUNT OF
THE DEDUCTIBLE, LESS THE COPAYMENT OR COINSURANCE AMOUNT SPECIFIED IN
SUBSECTION (C) OF THIS SECTION. (c) [Subject to approval by the Board, the carrier that administers the
Program shall develop a prescription drug formulary to be used in the Program] AN
ENROLLEE SHALL PAY A COPAYMENT OR COINSURANCE AMOUNT, INSTEAD OF A
DEDUCTIBLE, EQUAL TO THE INITIAL COPAYMENT OR COINSURANCE AMOUNT FOR
WHICH THE ENROLLEE RESPONSIBLE UNDER THE ENROLLEE'S MEDICARE PART D
PRESCRIPTION DRUG PLAN OR MEDICARE ADVANTAGE PLAN AFTER THE
DEDUCTIBLE IS SATISFIED. (D) THE PROGRAM SHALL ESTABLISH AN ANNUAL SUBSIDY LIMIT FOR AN
ENROLLEE. 14-513. (a)     As determined by the Board, premiums collected for the Program shall be
deposited: (1)     to a segregated account in the Fund established under § 14-504 of
this subtitle; or (2)     to a separate account for the Program established by the [carrier
that administers the] Program ADMINISTRATOR. (b)     In addition to premium income, the segregated account shall include: (1)     interest and investment income attributable to Program funds; and (2)     money deposited to the account by [the carrier that administers the
Program] A NONPROFIT HEALTH SERVICE PLAN, in accordance with subsection (c) of
this section. (c)      (1) On or before April 1, 2003 and quarterly thereafter, the [Program
Administrator] NONPROFIT HEALTH SERVICE PLAN REQUIRED TO SUBSIDIZE THE
PROGRAM UNDER § 14-106(D) OF THIS TITLE shall deposit to the Fund under § 14-504 - 1457 -


 
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Session Laws, 2005
Volume 752, Page 1457   View pdf image
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