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Session Laws, 1993
Volume 772, Page 540   View pdf image
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Ch. 9

1993 LAWS OF MARYLAND

703.

(A)     EACH CARRIER SHALL ESTABLISH AN ENROLLMENT PROCESS IN
ACCORDANCE WITH THIS SECTION.

(B)     EACH INDIVIDUAL IN THE STATE SHALL BE OFFERED THE OPPORTUNITY
TO ENROLL IN A HEALTH BENEFIT PLAN WITHIN 30 DAYS AFTER THE INDIVIDUAL
ESTABLISHES RESIDENCY IN THE STATE.

(C) EACH CARRIER SHALL;

(1) ESTABLISH AN ANNUAL PERIOD, OF NOT LESS THAN 30 DAYS,
DURING WHICH INDIVIDUALS MAY ENROLL IN A HEALTH BENEFIT PLAN OR
CHANGE THE HEALTH BENEFIT PLAN IN WHICH THE INDIVIDUAL IS ENROLLED; AND

(2) PROVIDE FOR A SPECIAL ENROLLMENT PERIOD IN WHICH AN
INDIVIDUAL IS PERMITTED TO CHANGE THE INDIVIDUAL OR FAMILY BASIS OF
COVERAGE OR THE HEALTH BENEFIT PLAN IN WHICH THE INDIVIDUAL IS
ENROLLED IF THE INDIVIDUAL:

(I) THROUGH MARRIAGE, DIVORCE, BIRTH OR ADOPTION OF A
CHILD, OR SIMILAR CIRCUMSTANCES, EXPERIENCES A CHANGE IN FAMILY
COMPOSITION; OR

(II) EXPERIENCES A CHANGE IN EMPLOYMENT STATUS INCLUDING
A SIGNIFICANT CHANGE IN THE TERMS AND CONDITIONS OF EMPLOYMENT.

(D) PLANS FOR OPEN ENROLLMENT AND SPECIAL ENROLLMENT PERIODS
SHALL BE FILED WITH THE INSURANCE COMMISSIONER.

704.                           

(A) THE COMMISSION SHALL ESTABLISH AND MAINTAIN A UNIFIED HEALTH
CARE DATA BASE TO ENABLE IT TO:

(1) COMPARE COSTS BETWEEN VARIOUS TREATMENT SETTINGS; AND

(2) PROVIDE INFORMATION TO CONSUMERS AND PURCHASERS OF
HEALTH CARE.

(B) THE DATA BASE SHALL CONTAIN UNIQUE PATIENT AND PROVIDER
IDENTIFIERS AND A UNIFORM CODING SYSTEM AND SHALL REFLECT ALL HEALTH
CARE UTILIZATION, COSTS, AND RESOURCES IN THIS STATE AND HEALTH CARE
UTILIZATION AND COSTS FOR SERVICES PROVIDED TO MARYLAND RESIDENTS IN
ANOTHER STATE.

705.

(A) CARRIERS AND GOVERNMENTAL AGENCIES SHALL FILE REPORTS, DATA,
SCHEDULES, STATISTICS, OR OTHER INFORMATION DETERMINED BY THE
COMMISSION TO BE NECESSARY TO CARRY OUT THE PURPOSES OF THIS SUBTITLE.
THE INFORMATION MAY INCLUDE;

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Session Laws, 1993
Volume 772, Page 540   View pdf image
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