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Ch. 153 2002 LAWS OF MARYLAND
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(2) no later than May 1, 2003, provide notice, as approved by the Insurance
Commissioner, to each enrollee in the substantial, available, and affordable coverage
plan of the enrollee's eligibility for coverage under the Maryland Health Insurance
Plan.
SECTION 10. AND BE IT FURTHER ENACTED, That:
(1) The Health Services Cost Review Commission shall approve the
substantial, available, and affordable coverage (SAAC) purchaser differential through
March 31, 2003 for each carrier participating in the SAAC program, as long as the
carrier complies with the laws and regulations governing the SAAC program.
(2) For the final quarter of fiscal year 2003, the Health Services Cost Review
Commission:
(i) may not allow any carrier to receive a SAAC purchaser differential:
(ii) may not adjust hospital rates to reflect the elimination of any SAAC
purchaser differential;
(iii) shall collect from each hospital for which rates are established by the
Commission an amount equal to the value of the SAAC purchaser differential and
deposit that money, minus the losses and fees paid to SAAC carriers for the quarter,
into the Maryland Health Insurance Plan Fund;
(iv) shall establish a methodology for reimbursing each carrier for losses
incurred within the quarter that are attributable to SAAC enrollees; and
(v) shall reimburse each carrier for losses incurred within the quarter
and pay each carrier an administration fee equal to 20% of premiums collected for the
quarter.
(3) For calendar year 2002:
(i) a carrier that participates in the SAAC program through a health
maintenance organization product may not be required to hold an open enrollment
period for eligible individuals; and
(ii) a carrier that participates in the SAAC program through a preferred
provider organization product shall hold one 30-day open enrollment period for
eligible individuals in June 2002 and one 30-day open enrollment period for eligible
individuals in December 2002.
SECTION 11. AND BE IT FURTHER ENACTED, That:
(1) On July 1, 2003, the Health Services Cost Review Commission and the
Maryland Insurance Administration shall terminate the substantial, available, and
affordable coverage (SAAC) purchaser differential program for nonprofit health
service plans, health insurers, and health maintenance organizations.
(2) Notwithstanding § 15-1309 of the Insurance Article, for each SAAC policy
in effect on and after March 31, 2003. the renewal date shall be July 1, 2003. On July
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