Code of Maryland Regulations (Last Updated: April 6, 2021) |
Title 14. Independent Agencies |
Subtitle 35. MARYLAND HEALTH BENEFIT EXCHANGE |
Chapter 14.35.16. Plan Certification Standards |
Sec. 14.35.16.03. Qualified Health Plan Certification — In General
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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 plans 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.