WILLIAM DONALD SCHAEFER, Governor                           Ch. 258

(3) Of the total assessment apportioned under paragraph (2) of this
subsection to payors within the meaning of subsection (a)(3)(i) of this section, the
Commissioner shall assess each such payor a fraction:

(i) The numerator of which is the payor's total premiums collected in
the State for health benefit plans for an appropriate prior 12-month period as
determined by the Commissioner; and

(ii) The denominator of which is the total premiums for health benefit
plans of all such payors collected in the State for the same period.

(4), Of the total assessment apportioned under paragraph (2) of this
subsection to payors within the meaning of subsection (a)(3)(ii) of this section, the
Commissioner shall assess each such payor a fraction:

(i) The numerator of which is the payor's total administrative fees
collected in the State for health benefit plans for an appropriate prior 12-month period
as determined by the Commissioner; and

(ii) The denominator of which is the total administrative fees of all
such payors collected in the State for health benefit plans for the same period.

(c)      (1) Subject to paragraph (2) of this subsection, on or before September 1 of
each year, each payor assessed a fee in accordance with this section shall make payment
to the Commissioner.

(2) The Commissioner, in cooperation with the Maryland Health Care
Access and Cost Commission, may make provisions for partial payments.

(d)     The Commissioner shall distribute the fees collected under this section to the
health care access and cost fund established under [§ 19-1514] § 19-1515 of the Health -
General Article.

(e)     All payors shall cooperate fully in submitting reports and claims data and
providing any other information to the Maryland Health Care Access and Cost
Commission in accordance with Title 19, Subtitle 15 of the Health - General Article.

(f)      In making payments for health care services, all payors shall pay in accordance
with the payment system adopted under § 19-1509 of the Health - General Article.

490S.

(A)     All authorized insurers, including nonprofit health service plans and fraternal
benefit societies, shall pay hospitals for hospital services rendered on the basis of the rate
approved by the Health Services Cost Review Commission.

(B)      (1) ON OR BEFORE MARCH 1 OF EACH YEAR, EACH INSURER THAT
HOLDS A CERTIFICATE OF AUTHORITY IN THE STATE AND PROVIDES HEALTH
INSURANCE IN THE STATE, EACH HEALTH MAINTENANCE ORGANIZATION THAT IS
LICENSED TO OPERATE IN THE STATE, AND EACH NONPROFIT HEALTH SERVICE
PLAN THAT IS LICENSED TO OPERATE IN THE STATE SHALL SUBMIT AN ANNUAL

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