H.B. 1563

VETOES

(1) THE PROVISIONS CONCERNING THE CARRIER'S RIGHT TO CHANGE
PREMIUM RATES, INCLUDING. ANY FACTORS THAT MAY AFFECT THE CHANGES IN
PREMIUM RATES;

(2) THE PROVISIONS RELATING TO RENEWABILITY OF POLICIES AND
CONTRACTS; AND

(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, A CARRIER
MAY IMPOSE REASONABLE MINIMUM PARTICIPATION REQUIREMENTS FOR THE
HEALTH BENEFIT PLANS SOLD OUTSIDE THE REGIONAL HEALTH COOPERATIVE.

(E) TO INDICATE COMPLIANCE WITH SUBSECTIONS (C) AND (D) OF THIS
SECTION, A CARRIER SHALL MAINTAIN INFORMATION AND DOCUMENTATION THAT
IS SATISFACTORY TO THE COMMISSIONER.

(F) (1) ON OR BEFORE MARCH 15 OF EACH YEAR, A CARRIER SHALL FILE
AN ACTUARIAL CERTIFICATION WITH THE COMMISSIONER THAT IT HAS FOLLOWED
THE RATING PRACTICES IMPOSED UNDER § 702 OF SUBTITLE 55 OR § 745 OF THIS
SUBTITLE.

(2) THE CERTIFICATION SHALL BE BASED ON AN EXAMINATION THAT
INCLUDES A REVIEW OF:

(I) APPROPRIATE RECORDS; AND

(II) ACTUARIAL ASSUMPTIONS AND METHODS USED BY THE
CARRIER.

(G) A CARRIER SHALL:

(1) RETAIN ALL DOCUMENTS AND CERTIFICATIONS REQUIRED UNDER
THIS SUBTITLE AT ITS PRINCIPAL PLACE OF BUSINESS FOR A PERIOD OF 5 YEARS;
AND

(2) MAKE THE INFORMATION AND DOCUMENTATION AVAILABLE TO
THE COMMISSIONER ON REQUEST.

748. GUARANTEED ISSUE.

(A) (1) EXCEPT FOR AN EMPLOYER THAT IS SUBJECT TO THE PROVISIONS
OF SUBTITLE 55 OF THIS ARTICLE, FOR A HEALTH BENEFIT PLAN ISSUED OR
RENEWED AFTER JANUARY 1, 1996, A CARRIER SHALL ISSUE ITS HEALTH BENEFIT
PLANS TO ANY GROUP OR INDIVIDUAL THAT MEETS THE REQUIREMENTS OF THIS
SUBSECTION.

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