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31.12.03.00.htm 31.12.03.00. Title 31 MARYLAND INSURANCE ADMINISTRATION Subtitle 12 HEALTH MAINTENANCE ORGANIZATIONS; ENTITIES THAT ACT AS HEALTH INSURERS Chapter 03 Health Maintenance Organizations ― Mandatory Point-of-Service Option Authority: Health-General Article, §19-705(a)2) and 19-710.2, Annotated Code of Maryland
31.12.03.01.htm 31.12.03.01. 01 Scope.. This chapter applies to all health maintenance organizations operating in this State..
31.12.03.02.htm 31.12.03.02. 02 Required Notice.. When a health maintenance organization is the sole carrier offered to group members by a group policyholder, the health maintenance organization:A. Shall offer the group policyholder a point-of-service option for the individual group member to accept or reject;B. May not impose a minimum participation level on the mandatory point-of-service option; and. C. As part of the application, shall provide to each group policyholder the following disclosure sta
31.12.03.03.htm 31.12.03.03. 03 Record Retention.. Each health maintenance organization shall maintain copies of the notice and the group policyholder response for a period of 3 years or until its next market conduct examination, whichever occurs first.
31.12.03.9999.htm 31.12.03.9999. Administrative History Effective date: July 1, 1996 (23:13 Md. R. 943). Regulation .02C amended as an emergency provision effective July 1, 1996 (23:15 Md. R. 1079) amended permanently effective November 4, 1996 (23:22 Md. R. 1496) ―Chapter recodified from COMAR 09.31.07 to COMAR 31.12.03, July 1998. Regulation .02C amended effective August 3, 2015 (42:15 Md. R. 1019).
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