|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
PARRIS N. GLENDENING, Governor Ch. 153
|
|
|
|
|
|
|
|
|
|
(2) the Commissioner is satisfied:
(i) that the applicant has been organized in good faith for the
purpose of establishing, maintaining, and operating a nonprofit health service plan;
(ii) that:
1. each contract executed or proposed to be executed by the
applicant and a health care provider to furnish health care services to subscribers to
the nonprofit health service plan, obligates or, when executed, will obligate each health
care provider party to the contract to render the health care services to which each
subscriber is entitled under the terms and conditions of the various contracts issued or
proposed to be issued by the applicant to subscribers to the plan; and
2. each subscriber is entitled to reimbursement for podiatric,
chiropractic, psychological, or optometric services, regardless of whether the service is
performed by a licensed physician, licensed podiatrist, licensed chiropractor, licensed
psychologist, or licensed optometrist;
(iii) that:
1. each contract issued or proposed to be issued to subscribers
to the plan is in a form approved by the Commissioner; and
2. the rates charged or proposed to be charged for each form of
each contract are fair and reasonable; [and]
(iv) that the applicant has a surplus, as defined in § 14-117 of this
subtitle, of the greater of:
1. $100.000; and
2. an amount equal to that required under § 14-117 of this
subtitle; AND
(V) THAT, EXCEPT FOR A NONPROFIT HEALTH SERVICE PLAN THAT
INSURES FEWER THAN 10,000 COVERED LIVES IN THE STATE, THE NONPROFIT
HEALTH SERVICE PLANS CORPORATE HEADQUARTERS IS LOCATED IN THE STATE.
SUBTITLE 5. PROGRAMS FOR MEDICALLY UNINSURABLE AND UNDERINSURED
INDIVIDUALS.
PART I. MARYLAND HEALTH INSURANCE PLAN.
14-501.
(A) IN THIS SUBTITLE THE FOLLOWING WORDS HAVE THE MEANINGS
INDICATED.
(B) "ADMINISTRATOR" MEANS:
(1) A PERSON THAT' IS REGISTERED AS AN ADMINISTRATOR UNDER
TITLE 8, SUBTITLE 3 OF THIS ARTICLE; OR
|
|
|
|
|
|
|
|
|
|
- 1541 -
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
 |
