Ch. 35

1997 LAWS OF MARYLAND

(7) ANY REBATE RECEIVED BY A MANAGED CARE ORGANIZATION MAY
NOT BE CONSIDERED PART OF THE LOSS RATIO OF THE MANAGED CARE
ORGANIZATION.

(D) PUBLICATION OF LOSS RATIO BENCHMARK.

EACH INSURER, NONPROFIT HEALTH SERVICE PLAN, AND HEALTH
MAINTENANCE ORGANIZATION SHALL PROVIDE ANNUALLY TO EACH CONTRACT
HOLDER A WRITTEN STATEMENT OF THE LOSS RATIO FOR A HEALTH BENEFIT PLAN
AS SUBMITTED TO THE COMMISSIONER UNDER THIS SECTION.

(E) TRANSMITTAL OF INFORMATION TO HEALTH CARE ACCESS AND COST
COMMISSION.

(1) ON OR BEFORE MAY 1 OF EACH YEAR, THE COMMISSIONER SHALL
TRANSMIT TO THE HEALTH CARE ACCESS AND COST COMMISSION ANY
INFORMATION IT NEEDS TO EVALUATE THE COMPREHENSIVE STANDARD HEALTH
BENEFIT PLAN AS REQUIRED UNDER § 15-1207 OF THIS TITLE.

(2) THE INFORMATION PROVIDED BY THE COMMISSIONER SHALL BE
SPECIFIED IN REGULATIONS ADOPTED BY THE COMMISSIONER IN CONSULTATION
WITH THE HEALTH CARE ACCESS AND COST COMMISSION.

REVISOR'S NOTE: This section is new language derived without substantive
change from former Art. 48A, § 490S(b) through (e).

In subsection (a)(1)(i) of this section, the defined term "authorized insurer" is
substituted for the former reference to an "insurer that holds a certificate of
authority in the State" for brevity and consistency with the terminology used
throughout this article.

In subsection (a)(1)(ii) and (iii) of this section, the references to each
nonprofit health service plan and each health maintenance organization that
is "authorized by the Commissioner" to operate in the State are substituted
for the former references to each nonprofit health service plan and each
health maintenance organization that is "licensed" to operate in the State for
accuracy.

In subsection (a)(4) of this section, the reference to an "annual report
submitted" under this subsection is substituted for the former reference to the
"filing required" under this subsection for consistency with terminology used
in subsection (a)(1) and (2) of this section.

In subsection (c)(2)(ii)2 of this section, the former description of the
insurance product as "short-term" is deleted as unnecessary in light of the
more specific limitation on the policy term to "no more than 6 months".

In subsection (c)(4)(ii) of this section, the references to "health insurance"
premiums are added for clarity and consistency with subsection (c)(4)(i) of
this section.

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