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Session Laws, 2000
Volume 797, Page 181   View pdf image
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PARRIS N. GLENDENING, Governor Ch. 16
(b) Each benefit offered in addition to the Standard Plan that increases access
to care choices or lowers the cost-sharing arrangement in the Standard Plan is
subject to all of the provisions of this subtitle applicable to the Standard Plan,
including: (1) guaranteed issuance; (2) guaranteed renewal; (3) adjusted community rating; and (4) the prohibition on preexisting condition limitations. (c) (1) Each benefit offered in addition to the Standard Plan that increases
the type of services available or the frequency of services is not subject to guaranteed
issuance but is subject to all other provisions of this subtitle applicable to the
Standard Plan, including: (i) guaranteed renewal; (ii) adjusted community rating; and (iii) the prohibition on preexisting condition limitations. (2) For each additional benefit offered under this subsection, a carrier
shall accept or reject the application of the entire group. (3) The Commissioner may prohibit a carrier from offering an additional
benefit under this subsection if the Commissioner finds that the additional benefit
will be sold in conjunction with the Standard Plan in a manner designed to promote
risk selection or underwriting practices otherwise prohibited by this subtitle. (D) (1) A BENEFIT OFFERED IN ADDITION TO THE STANDARD PLAN TO
LOWER THE COST-SHARING ARRANGEMENT IN THE STANDARD PLAN IN
ACCORDANCE WITH § 15-301.1 OF THE HEALTH - GENERAL ARTICLE IS SUBJECT TO: (I) GUARANTEED ISSUANCE; (II) GUARANTEED RENEWAL; (III) ADJUSTED COMMUNITY RATING; AND (IV) THE PROHIBITION ON PREEXISTING CONDITION LIMITATIONS. (2) A CARRIER THAT OFFERS A BENEFIT UNDER THIS SUBSECTION
SHALL BE REQUIRED TO GUARANTEE ISSUANCE AND GUARANTEE RENEWAL OF THE
ADDITIONAL BENEFIT ONLY TO EMPLOYERS WHO ARE PARTICIPATING IN THE MCHP
PRIVATE OPTION PLAN ESTABLISHED UNDER § 15-301.1 OF THE HEALTH - GENERAL
ARTICLE. 15-1406. (a) A carrier may not establish rules for eligibility of an individual to enroll
under a group health benefits plan based on any health status-related factor.
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Session Laws, 2000
Volume 797, Page 181   View pdf image
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