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14.35.13.00.htm 14.35.13.00. Title 14 INDEPENDENT AGENCIES Subtitle 35 MARYLAND HEALTH BENEFIT EXCHANGE Chapter 13 Application Counselor Training and Certification Standards Authority: Insurance Article, §31-106 and 31-113(r) Annotated Code of Maryland
14.35.13.01.htm 14.35.13.01. 01 Scope.. This chapter sets forth the qualifications, training, and certification standards for an agent, employee, or volunteer of an application counselor sponsoring entity who applies to receive an application counselor certification and is required under Insurance Article, §31-113(r)1)ii) Annotated Code of Maryland, to hold an application counselor certification to provide the services set forth below.
14.35.13.02.htm 14.35.13.02. 02 Definitions.. A. In this subtitle, the following terms have the meanings indicated.. B. Terms Defined.. 1) “Applicant” means an agent, employee, or volunteer of an application counselor sponsoring entity who is applying for certification as an application counselor.2) “Application counselor” has the meaning set forth in Insurance Article, §31-101(a-1) Annotated Code of Maryland.3) “Application counselor sponsoring entity” or “sponsoring entity” has the meaning set forth in Ins
14.35.13.03.htm 14.35.13.03. 03 Eligibility Requirements.. To qualify for an application counselor certification, an applicant shall:. A. Be of good character and trustworthy;. B. Be at least 18 years old;. C. Be an agent, employee, or volunteer of an application counselor sponsoring entity;. D. Not be an Individual Exchange navigator or assister;. E. Enter into a formal written agreement with an application counselor sponsoring entity agreeing to comply with the provisions of this chapter and 45 CFR §155.225;
14.35.13.04.htm 14.35.13.04. 04 Scope of Authority.. A. A certified application counselor may:. 1) Provide information to consumers about the full range of qualified health plan and qualified dental plan options and insurance affordability programs, including advance premium tax credits and cost-sharing subsidies, the Maryland Medical Assistance Program, and the Maryland Children’s Health Program, for which they are eligible;2) Assist consumers with the application process for determining eligibilit
14.35.13.05.htm 14.35.13.05. 05 Application Procedures.. A. In order to obtain an application counselor certification, the applicant shall submit to the Maryland Health Benefit Exchange:1) An application, on the form approved by the Maryland Health Benefit Exchange in consultation with the Commissioner and the Department of Health and Mental Hygiene;2) An attestation that the applicant will notify the Maryland Health Benefit Exchange of any changes to information that the applicant provides or to
14.35.13.06.htm 14.35.13.06. 06 Training Requirements.. In order to obtain application counselor certification, an individual shall:. A. Complete the training program specified under COMAR 14.35.02.04A; and. B. Pass the examination specified under COMAR 14.35.02.04D..
14.35.13.07.htm 14.35.13.07. 07 Term.. An application counselor certification expires 2 years after the date it is issued unless it is renewed.
14.35.13.08.htm 14.35.13.08. 08 Renewal.. A. Notice.. 1) At least 60 days before the expiration of an application counselor certification, the Maryland Health Benefit Exchange shall notify the application counselor using the address on file, including email address, with the Maryland Health Benefit Exchange, of the expiration date of an application counselor certification.2) The notification shall include:. a) A renewal application;. b) The date by which the Maryland Health Benefit Exchange must receive the
14.35.13.09.htm 14.35.13.09. 09 Reinstatement.. A. For up to 1 year after the expiration of a certification, an individual whose application counselor certification has expired may apply to reinstate the expired certification by:1) Filing a reinstatement application, either by mail or electronically, on a form approved by the Maryland Health Benefit Exchange;2) Paying to the Maryland Health Benefit Exchange the renewal fee if permitted by law and in the manner specified by the Maryland Health Benefit Excha
14.35.13.10.htm 14.35.13.10. 10 Suspension or Revocation.. A. The Commissioner may suspend or revoke an application counselor certification for any reason set forth under Insurance Article, §31-113(l)1) Annotated Code of Maryland, made applicable to application counselors pursuant to Insurance Article, §31-113(r) Annotated Code of Maryland, or for any reason set forth under 45 CFR §155.225.B. An application counselor’s certification is automatically suspended if his or her application cou
14.35.13.9999.htm 14.35.13.9999. Administrative History Effective date: June 8, 2015 (42:11 Md. R. 726).
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