31.11.14.05

.05 Requirement for Carriers to Offer a Wellness Benefit.

A. A prominent carrier shall offer a wellness benefit to a small employer for a health benefit plan offered in Maryland.

B. A carrier that is not a prominent carrier may offer a wellness benefit to a small employer for a health benefit plan offered in Maryland.

C. The determination of which carriers are prominent carriers shall be determined each calendar year, based on the market share that each carrier had of the Maryland small group market for the prior calendar year.

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