Ch. 647

1996 LAWS OF MARYLAND

(I) A STATUTORY OR REGULATORY BASIS FOR THE DISAPPROVAL OR
WITHDRAWAL OF APPROVAL; AND

(II) AN EXPLANATION OF THE APPLICATION OF THE STATUTORY OR
REGULATORY BASIS FOR THE DISAPPROVAL OR WITHDRAWAL OF APPROVAL

Article - Health - General

19-713.

(a)     Each health maintenance organization shall file with the Commissioner,
before they become effective:

(1)     All rates that the health maintenance organization charges subscribers
or groups of subscribers; and

(2)     The form and content of each contract between the health maintenance
organization and its subscribers or groups of subscribers.

(b)     Rates of a health maintenance organization may not be excessive, inadequate,
or unfairly discriminatory in relation to the services offered.

(c)     (1) If, at any time, a health maintenance organization wishes to amend any
contract with its subscribers or change any rate charged, the health maintenance
organization shall file with the Commissioner the number of copies of the amendment or
rate change that the Commissioner requires.

(2) The Commissioner shall provide the Department with the number of
copies it requires.

(D)    THE COMMISSIONER SHALL COORDINATE THE CONTRACT AND RELATED
RATE FILING REVIEW UNDER THIS SECTION.

(E)     (1) IF WITHIN 60 DAYS AFTER A FILING MADE PURSUANT TO THIS
SECTION, THE COMMISSIONER FINDS THE FILING DOES NOT MEET THE
REQUIREMENTS OF SUBSECTION (F) OF THIS SECTION, HE SHALL SEND THE FILER
SHALL BE SENT NOTICE OF DISAPPROVAL SPECIFYING IN WHAT RESPECTS THE
COMMISSIONER FINDS THAT THE FILING FAILS TO MEET THE REQUIREMENTS OF
THIS SECTION AND STATING THAT THE FILING SHALL NOT BECOME EFFECTIVE.

(2) THE COMMISSIONER MAY NOT ISSUE A NOTICE OF DISAPPROVAL OF
A FILING UNDER SUBSECTION (F) OF THIS SECTION WITHOUT A STATUTORY OR
REGULATORY BASIS FOR THE DISAPPROVAL AND AN EXPLANATION OF THE
APPLICATION OF THE STATUTORY OR REGULATORY BASIS WHICH RESULTED IN
THE DISAPPROVAL

(F)     THE COMMISSIONER SHALL DISAPPROVE ANY FORM FILED, OR
WITHDRAW ANY PREVIOUS APPROVAL, IF THE FORM

(1) IS IN ANY RESPECT IN VIOLATION OR DOES NOT COMPLY WITH THIS
ARTICLE OR APPLICABLE REGULATIONS;

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