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2007 Laws of Maryland
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Ch. 600
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4. Eastern and Southern Maryland].
(3) Rates for a health benefit plan may vary based on family
composition as approved by the Commissioner.
(4) (I) A SUBJECT TO SUBPARAGRAPH (II) OF THIS
PARAGRAPH, AFTER APPLYING THE RISK ADJUSTMENT FACTORS UNDER
PARAGRAPH (2) OF THIS SUBSECTION, A CARRIER MAY OFFER A DISCOUNTED
RATE DISCOUNT NOT TO EXCEED 20% TO A SMALL EMPLOYER FOR ELIGIBLE
EMPLOYEES OF THE SMALL EMPLOYER WHO:
(I) ARE NONSMOKERS; OR
(II) PARTICIPATE PARTICIPATION IN A WELLNESS
PROGRAM.
(II) A DISCOUNT OFFERED UNDER SUBPARAGRAPH (I) OF
THIS PARAGRAPH SHALL BE:
1. APPLIED TO REDUCE THE RATE OTHERWISE
PAYABLE BY THE SMALL EMPLOYER;
2. ACTUARIALLY JUSTIFIED;
3. OFFERED UNIFORMLY TO ALL SMALL EMPLOYERS;
AND
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4. APPROVED BY THE COMMISSIONER.
(b) A carrier shall apply all risk adjustment factors under subsection (a) of
this section consistently with respect to all health benefit plans that are issued,
delivered, or renewed in the State.
(c) ill Based on the [adjustments] ADJUSTMENT allowed under
subsection (a)(2) of this section, a carrier may charge a rate that is [40%] 50% above
or 50% below the community rate.
(2) (I) ON OR BEFORE OCTOBER l, 2007, THE COMMISSION
SHALL ADOPT REGULATIONS THAT REQUIRE CARRIERS TO COLLECT AND
REPORT TO THE COMMISSION DATA ON PARTICIPATION, BY RATE BAND, IN
HEALTH BENEFIT PLANS ISSUED, DELIVERED, OR RENEWED UNDER THIS
SUBTITLE.
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- 3842 -
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