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ROBERT L. EHRLICH, JR., Governor Ch. 282
Article - Insurance
14-106.
(c) A nonprofit health service plan may satisfy the public service requirement
of this section by establishing that, to the extent the value of the nonprofit health
service plan's premium tax exemption under § 6-101(b) of this article exceeds the
subsidy required under the Senior Prescription Drug ASSISTANCE Program
established under Subtitle 5, Part II of this title, the plan has:
(1) increased access to, or the affordability of, one or more health care
products or services by offering and selling health care products or services that are
not required or provided for by law;
(2) provided financial or in-kind support for public health programs;
(3) employed underwriting standards in a manner that increases the
availability of one or more health care services or products;
(4) employed pricing policies that enhance the affordability of health
care services or products and result in a higher medical loss ratio than that
established by a comparable for-profit health insurer; or
(5) served the public interest by any method or practice approved by the
Commissioner.
(d) Notwithstanding subsection (c) of this section, a nonprofit health service
plan that is subject to this section and issues comprehensive health care benefits in
the State shall:
(1) offer health care products in the individual market;
(2) offer health care products in the small employer group market in
accordance with Title 15, Subtitle. 12 of this article; and
(3) [administer and] subsidize the Senior Prescription Drug
ASSISTANCE Program established under Title 14, Subtitle 5, Part II of this title.
(e) The subsidy required under the Senior Prescription Drug ASSISTANCE
Program may not exceed:
(1) FOR THE PERIOD OF JANUARY 1 THROUGH JUNE 30, 2006, $8,000,000;
(2) FOR FISCAL YEAR 2007, $14,000,000; AND
(3) FOR ANY YEAR the value of the nonprofit health service plan's
premium tax exemption under § 6-101(b) of this article.
14-504.
(a) (1) There is a Maryland Health Insurance Plan Fund.
(2) The Fund is a special nonlapsing fund that is not subject to § 7-302 of
the State Finance and Procurement Article.
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