Ch. 57

1997 LAWS OF MARYLAND

(II) APPORTIONED EQUITABLY BY THE COMMISSIONER AMONG
THE CLASSES OF PAYORS DESCRIBED IN SUBSECTION (A)(3) OF THIS SECTION AS
DETERMINED BY THE COMMISSIONER.

(2) OF THE TOTAL ASSESSMENT APPORTIONED UNDER PARAGRAPH (1)
OF THIS SUBSECTION TO PAYORS DESCRIBED IN SUBSECTION (A)(3)(I) OF THIS
SECTION, THE COMMISSIONER SHALL ASSESS EACH 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
COLLECTED IN THE STATE FOR THE SAME PERIOD FOR HEALTH BENEFIT PLANS OF
ALL PAYORS DESCRIBED IN SUBSECTION (A)(3)(I) OF THIS SECTION.

(3) OF THE TOTAL ASSESSMENT APPORTIONED UNDER PARAGRAPH (1)
OF THIS SUBSECTION TO PAYORS DESCRIBED IN SUBSECTION (A)(3)(II) OF THIS
SECTION, THE COMMISSIONER SHALL ASSESS EACH 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 COLLECTED IN THE STATE FOR HEALTH BENEFIT PLANS FOR
THE SAME PERIOD OF ALL PAYORS DESCRIBED IN SUBSECTION (A)(3)(II) OF THIS
SECTION.

(D) (1) SUBJECT TO PARAGRAPH (2) OF THIS SUBSECTION, EACH PAYOR
THAT IS ASSESSED A FEE UNDER THIS SECTION SHALL PAY THE FEE TO THE
COMMISSIONER ON OR BEFORE SEPTEMBER 1 OF EACH YEAR.

(2) THE COMMISSIONER, IN COOPERATION WITH THE MARYLAND
HEALTH CARE ACCESS AND COST COMMISSION, MAY PROVIDE FOR PARTIAL
PAYMENTS.

(E) THE COMMISSIONER SHALL DISTRIBUTE THE FEES COLLECTED UNDER
THIS SECTION TO THE HEALTH CARE ACCESS AND COST FUND ESTABLISHED UNDER
§ 19-1515 OF THE HEALTH - GENERAL ARTICLE.

(F) EACH PAYOR 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.

(G) EACH PAYOR SHALL PAY FOR HEALTH CARE SERVICES IN ACCORDANCE
WITH THE PAYMENT SYSTEM ADOPTED UNDER § 19-1509 OF THE HEALTH - GENERAL
ARTICLE.

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