|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Ch. 243
|
|
|
|
|
|
Martin O'Malley, Governor
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(2) A SMALL EMPLOYER WHO COLLECTS PREMIUMS THROUGH
PAYROLL DEDUCTION AS PROVIDED IN THIS SUBSECTION SHALL PROVIDE A
CERTIFICATION TO A CARRIER PROVIDING AN INDIVIDUAL HEALTH BENEFIT
PLAN TO AN EMPLOYEE OF THE SMALL EMPLOYER THAT THE SMALL EMPLOYER
AND THE EMPLOYEE MEET THE REQUIREMENTS OF THIS SUBSECTION.
15-1204. (1) have demonstrated the capacity to administer the health benefit
plan, including adequate numbers and types of administrative personnel;
(2) have a satisfactory grievance procedure and ability to respond to
enrollees' calls, questions, and complaints;
(3) provide, in the case of individuals covered under more than one
health benefit plan, for coordination of coverage under all of these health benefit plans
in an equitable manner; and
(4) design policies to help ensure adequate access to providers of
health care.
(b) A person may not offer a health benefit plan in the State unless the
person offers at least the Standard Plan.
(c) Except for the Limited Benefit Plan, a carrier may not offer a health
benefit plan that has fewer benefits than those in the Standard Plan.
(d) A carrier may offer benefits in addition to those in the Standard Plan if:
(1) the additional benefits:
(i) are offered and priced separately from benefits specified in
accordance with § 15-1207 of this subtitle; and
(ii) do not have the effect of duplicating any of these benefits;
(i) clearly distinguishes the Standard Plan from other offerings
|
|
|
|
|
|
|
|
|
|
- 1673 -
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
 |
