Sec. 14.35.10.01. Scope  


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  • A. In General. This chapter applies to contested case hearings:

    (1) Conducted by or on behalf of the Maryland Health Benefit Exchange; or

    (2) Delegated by the Board in accordance with State Government Article, §10-205(a)(1)(ii), Annotated Code of Maryland.

    B. Except as explicitly stated in this chapter, COMAR 28.02.01 governs the conduct of a hearing before the Office of Administrative Hearings.

    C. Determinations entitled to contested case appeals. This chapter applies only to the appeal of an Exchange determination regarding:

    (1) Suspension of SHOP Exchange producer authorization;

    (2) Revocation of SHOP Exchange producer authorization;

    (3) Renewal of SHOP Exchange producer authorization;

    (4) Suspension of Individual Exchange producer authorization;

    (5) Revocation of Individual Exchange producer authorization;

    (6) Renewal of Individual Exchange producer authorization;

    (7) Suspension of captive producer authorization;

    (8) Revocation of captive producer authorization;

    (9) Renewal of captive producer authorization; or

    (10) Denial of Individual Exchange initial navigator certification.