PARRIS N. GLENDENING, Governor

S.B. 584

Article - Insurance

Section 12-205(a)

Annotated Code of Maryland

(1995 Volume)

(As enacted by Chapter 36 of the Acts of the General Assembly of 1995)

SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That the Laws of Maryland read as follows:

Article 48A - Insurance Code

376.

(a) (1) The Commissioner shall disapprove any form filed under § 375 of this
subtitle or withdraw any previous approval if the forms do not meet the requirements of
subsection (b) of this section. Furthermore, the Commissioner may set forth reasonable
rules and regulations consistent with the requirements of subsection (c) of this section in
order to establish minimum benefits and coverages as may be required.

(2) IF THE COMMISSIONER, UNDER PARAGRAPH (1) OF THIS
SUBSECTION, DISAPPROVES OR WITHDRAWS APPROVAL OF A FORM, THE
COMMISSIONER SHALL PROVIDE THE FILER OF THE FORM WITH:

(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.

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