Md. Code Regs. 14.35.15.07

Current through Register Vol. 51, No. 24, December 2, 2024

Section 14.35.15.07 - Conditions for Participation-Individual Exchange Carrier Notice Requirements

A. An authorized carrier shall provide enrollees newly effectuating coverage an enrollment information package that is written in plain language and in a manner that is accessible to individuals living with disabilities and individuals who have limited English proficiency.

B. If an enrollee is delinquent on premium payment, the carrier shall provide the enrollee with notice of such payment delinquency.

C. If an authorized carrier terminates an enrollee's coverage or enrollment in a qualified plan through the Exchange in accordance with COMAR 14.35.14 and 45 CFR § 155.430(b)(2)(i), (ii), or (Hi), the authorized carrier shall, promptly and without undue delay provide the enrollee with a notice of termination that includes:

(1) The termination effective date; and

(2) The reason for termination.

D. An authorized carrier shall follow all other carrier notice requirements under Insurance Article, Titles 15 and 31, Annotated Code of Maryland, pertaining to the individual and small group Exchanges, and 45 CFR Parts 147, 154, 155, and 156.

Md. Code Regs. 14.35.15.07

Regulation .07 adopted effective 46:5 Md. R. 308, eff. 3/11/2019