Md. Code Regs. 31.17.03.06

Current through Register Vol. 51, No. 22, November 1, 2024

Section 31.17.03.06 - Plan Administrator

A. The Board shall select a Plan administrator.

B. The Board may select more than one Plan administrator, if the Board decides to contract with different administrators to administer:

(1) Different standard benefit packages;

(2) Specific benefits, such as a prescription drug benefit; or

(3) Specific administrative functions of the Plan, such as case management.

C. Each Plan administrator shall serve for a period of time specified in its contract with the Board, subject to removal for cause and any other terms, conditions, and limitations contained in the contract.

D. Each Plan administrator shall perform functions relating to the Plan as required by the Board, including:

(1) Determination of eligibility;

(2) Data collection;

(3) Case management;

(4) Financial tracking and reporting;

(5) Payment of claims; and

(6) Premium billing.

E. The Board shall assume all insurance risk associated with covered benefits under the Plan.

Md. Code Regs. 31.17.03.06

Regulations .06 adopted as an emergency provision effective April 8, 2003 (30:9 Md. R. 609); emergency text amended effective July 1, 2003 (30:16 Md. R. 1072); adopted permanently effective December 22, 2003 (30:25 Md. R. 1851)