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PARRIS N. GLENDENING, Governor Ch. 15
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(1) EVALUATING EMPLOYER-SPONSORED HEALTH BENEFIT PLANS TO
DETERMINE WHETHER SPECIFIC PLANS MEET APPLICABLE STATE AND FEDERAL
REQUIREMENTS;
(2) ASSISTING EMPLOYERS THAT WISH TO PARTICIPATE IN THE MCHP
PRIVATE OPTION PLAN TO MEET THE ELIGIBILITY CRITERIA ESTABLISHED UNDER
SUBSECTION (C) OF THIS SECTION;
(3) COLLECTING THE FAMILY CONTRIBUTION UNDER SUBSECTION (E)
OF THIS SECTION;
(4) FORWARDING THE FAMILY CONTRIBUTION AND THE STATE'S
PORTION OF THE PREMIUM DIRECTLY TO THE CARRIER; AND
(5) ASSISTING EMPLOYERS IN ENROLLING THE ELIGIBLE DEPENDENTS
OF EMPLOYEES IN THE EMPLOYER-SPONSORED HEALTH BENEFIT PLAN.
(E) (1) AS A REQUIREMENT OF ENROLLMENT AND PARTICIPATION IN THE
MCHP PRIVATE OPTION PLAN, THROUGH EITHER AN EMPLOYER-SPONSORED
HEALTH BENEFIT PLAN OR A MANAGED CARE ORGANIZATION, THE PARENT OR
GUARDIAN OF AN ELIGIBLE INDIVIDUAL SHALL AGREE TO PAY THE FOLLOWING
ANNUAL FAMILY CONTRIBUTION:
(I) FOR AN ELIGIBLE INDIVIDUAL WHOSE FAMILY INCOME IS
ABOVE 200 PERCENT, BUT AT OR BELOW 250 PERCENT OF THE FEDERAL POVERTY
GUIDELINES, AN AMOUNT EQUAL TO 2 PERCENT OF THE ANNUAL INCOME OF A
FAMILY OF TWO AT 200 PERCENT OF THE FEDERAL POVERTY GUIDELINES; AND
(II) FOR AN ELIGIBLE INDIVIDUAL WHOSE FAMILY INCOME IS
ABOVE 250 PERCENT, BUT AT OR BELOW 300 PERCENT OF THE FEDERAL POVERTY
GUIDELINES, AN AMOUNT EQUAL TO 2 PERCENT OF THE ANNUAL INCOME OF A
FAMILY OF TWO AT 250 PERCENT OF THE FEDERAL POVERTY GUIDELINES.
(2) THE FAMILY CONTRIBUTION AMOUNTS REQUIRED UNDER
PARAGRAPH (1) OF THIS SUBSECTION APPLY ON A PER FAMILY BASIS REGARDLESS
OF THE NUMBER OF ELIGIBLE INDIVIDUALS EACH FAMILY HAS ENROLLED IN THE
MCHP PRIVATE OPTION PLAN.
(F) THE DEPARTMENT SHALL ADOPT REGULATIONS NECESSARY TO
IMPLEMENT THIS SECTION.
15-302.
(a) (1) The Department shall monitor applications to determine whether
employers and employees have voluntarily terminated coverage under an employer
sponsored health benefit plan that included dependent coverage in order to participate
in the [Children and Families Health Care Program] MARYLAND CHILDREN'S
HEALTH PROGRAM established under [§ 15-301] §§ 15-301 AND 15-301.1 of this
subtitle.
(2) The Department, in particular, shall review applications of
individuals who qualified for Program benefits under the [Children and Families
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- 163 -
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