Md. Code Regs. 10.25.01.15

Current through Register Vol. 51, No. 12, June 14, 2024

Section 10.25.01.15 - Carrier Requirements

A. To participate in the Premium Subsidy Program, a carrier shall meet the definition of a participating carrier under Regulation .02B(34) of this chapter.

B. The written participation agreement shall include:

(1) The carrier's designation of its subsidy administrator or administrators;

(2) The Commission's requirement for monthly data submissions regarding premium subsidy recipients covered by the participating carrier; and

(3) The participating carrier's agreement to cooperate with any audits of the Premium Subsidy Program.

C. A participating carrier may not condition the sale of a wellness benefit to a small employer based on participation of the eligible employees of that small employer in wellness programs or activities.

D. A prominent carrier shall offer at least one health benefit plan to a small employer who meets the requirements described in Regulation .04 of this chapter and shall enter into a written participation agreement with the Commission.

Md. Code Regs. 10.25.01.15

Regulations .15 adopted as an emergency provision effective June 12, 2008 (35:14 Md. R. 1243); adopted permanently effective August 25, 2008 (35:17 Md. R. 1486)