Md. Code Regs. 14.35.16.03

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

Section 14.35.16.03 - Qualified Health Plan Certification-In General

A. An authorized carrier shall apply for a certificate of authorization for each health benefit plan the carrier intends to offer on the Exchange.

B. The authorized carrier shall no longer offer a QHP on the Exchange, if:

(1) The plan's certification of authorization expires;

(2) The plan is decertified by the Exchange;

(3) The carrier elects to withdraw from the market with the Exchange, under 45 CFR § 156.290; or

(4) The carrier elects not to offer or renew the QHP on the Exchange in accordance with Insurance Article, Annotated Code of Maryland.

C. With respect to per-member premium rating for family coverage offered through a QHP on the Exchange, a carrier shall cap the premium rating for non-spousal dependents at three non-spousal dependents under the age of 21 for all plans authorized for sale under this chapter.

Md. Code Regs. 14.35.16.03

Regulation .03 adopted effective 46:5 Md. R. 309, eff. 3/11/2019