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Ch. 16
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2000 LAWS OF MARYLAND
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(V) THE PLAN INCLUDES A BENEFIT PACKAGE THAT IS
DETERMINED BY THE DEPARTMENT TO BE AT LEAST EQUIVALENT TO THE
COMPREHENSIVE STANDARD HEALTH BENEFIT PLAN ESTABLISHED UNDER § 15-1207
OF THE INSURANCE ARTICLE; AND
(VI) THE PLAN DOES NOT IMPOSE COST SHARING REQUIREMENTS
ON ELIGIBLE INDIVIDUALS.
(2) IF AN EMPLOYER-SPONSORED HEALTH BENEFIT PLAN THAT MEETS
THE CRITERIA UNDER PARAGRAPH (1) OF THIS SUBSECTION IS NOT AVAILABLE TO
THE ELIGIBLE INDIVIDUAL, THE ELIGIBLE INDIVIDUAL SHALL BE INSURED
THROUGH A MANAGED CARE ORGANIZATION AS DEFINED IN § 15-101(F) OF THIS
TITLE.
(D) THE DEPARTMENT SHALL FACILITATE COVERAGE OF ELIGIBLE
INDIVIDUALS UNDER AN EMPLOYER-SPONSORED HEALTH BENEFIT PLAN BY:
(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:
(1) (I) FOR AN ELIGIBLE INDIVIDUAL WHOSE FAMILY INCOME IS
BETWEEN ABOVE 200 PERCENT AND, 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
(2) (II) FOR AN ELIGIBLE INDIVIDUAL WHOSE FAMILY INCOME IS
BETWEEN ABOVE 251 250 PERCENT AND. 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.
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