WILLIAM DONALD SCHAEFER, Governor Ch. 9
(3) (III) 33% ABOVE OR BELOW THE COMMUNITY RATE FOR ALL
HEALTH BENEFIT PLANS ISSUED, DELIVERED, OR RENEWED AFTER JULY 1, 1996
BETWEEN JULY 1, 1996 AND JUNE 30, 1997; AND
(IV) 16% ABOVE OR BELOW THE COMMUNITY RATE FOR ALL HEALTH
BENEFIT PLANS ISSUED, DELIVERED, OR RENEWED AFTER JULY 1, 1997.
(2) ON OR BEFORE OCTOBER 1, 1998, THE COMMISSIONER SHALL SUBMIT A
REPORT TO THE GOVERNOR AND, IN ACCORDANCE WITH § 2-1312 OF THE STATE
GOVERNMENT ARTICLE, THE GENERAL ASSEMBLY, ON THE FEASIBILITY AND
DESIRABILITY OF ESTABLISHING A PURE COMMUNITY RATE OR MAINTAINING AN
ADJUSTED COMMUNITY RATE.
703.
(A) A CARRIER SHALL APPLY ALL RISK ADJUSTMENT FACTORS UNDER § 702
OF THIS SUBTITLE CONSISTENTLY WITH RESPECT TO ALL HEALTH BENEFIT PLANS
ISSUED, DELIVERED, OR RENEWED IN THE STATE.
(B) (1) A CARRIER MAY NOT ARBITRARILY TRANSFER A SMALL EMPLOYER
INVOLUNTARILY INTO OR OUT OF A HEALTH BENEFIT PLAN.
(2) A CARRIER MAY NOT OFFER TO TRANSFER A SMALL EMPLOYER
INTO OR OUT OF A HEALTH BENEFIT PLAN UNLESS THE OFFER TO TRANSFER IS
MADE TO ALL SMALL EMPLOYERS WITH SIMILAR RISK ADJUSTMENT FACTORS.
(C) A CARRIER SHALL MAKE A REASONABLE DISCLOSURE IN ITS
SOLICITATION AND SALES MATERIALS OF:
(1) THE EXTENT TO WHICH PREMIUM RATES FOR A SPECIFIED SMALL
EMPLOYER ARE ESTABLISHED OR ADJUSTED BASED UPON THE ACTUAL OR
EXPECTED VARIATION IN HEALTH CONDITIONS OF THE ELIGIBLE EMPLOYEES AND
DEPENDENTS OF THE SMALL EMPLOYER;
(2) (1) THE PROVISIONS CONCERNING THE CARRIER'S RIGHT TO
CHANGE PREMIUM RATES, INCLUDING ANY FACTORS THAT MAY AFFECT THE
CHANGES IN PREMIUM RATES;
(3) (2) THE PROVISIONS RELATING TO RENEWABILITY OF POLICIES
AND CONTRACTS; AND
(4) (3) THE PROVISIONS RELATING TO ANY PREEXISTING CONDITION
PROVISION.
(D) (1) A CARRIER SHALL BASE ITS RATING METHODS AND PRACTICES ON:
(I) COMMONLY ACCEPTED ACTUARIAL ASSUMPTIONS; AND
(II) SOUND ACTUARIAL PRINCIPLES.
(2) SUBJECT TO THE APPROVAL OF THE COMMISSIONER AND AS
PROVIDED UNDER § 704(A)(3) OF THIS SUBTITLE, A CARRIER MAY IMPOSE
REASONABLE MINIMUM PARTICIPATION REQUIREMENTS.
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