<?xml version='1.0' encoding='utf-8'?>
<baltimore-city-law heading="§ 11-7 Annual provider reports.">
  <section prefix="§" num="11-7" heading="Annual provider reports.">
    <para num="(a)" heading="In general.">Following the conclusion of each plan year, the City shall order an annual provider report to be prepared for each benefit plan offered under the Program.</para>
    <para num="(b)" heading="Included demographics.">A provider report required under subsection (a) of this section must cover:<para num="(1)">current employees;</para>
      <para num="(2)">pre-Medicare eligible retirees;</para>
      <para num="(3)">Medicare-covered retirees;</para>
      <para num="(4)">spouses of City employees or retired City employees; and</para>
      <para num="(5)">dependents of City employees or retired City employees.</para>
    </para>
    <para num="(c)" heading="Included plans.">The city shall order and prepare an annual provider report for each health benefit plan offered under the Program, without regard to whether a plan is vendor-insured or City self-insured.</para>
    <para num="(d)" heading="Contents.">An annual provider report shall include information from the prior plan year, including:<para num="(1)">enrollment data;</para>
      <para num="(2)">data relating to claims, including claims exceeding $75,000; and</para>
      <para num="(3)">any other relevant information about the health benefit plan’s:<para num="(i)">status;</para>
        <para num="(ii)">benefit delivery; and</para>
        <para num="(iii)">fiscal outcome.</para>
      </para>
    </para>
    <para num="(e)" heading="Provision of annual provider report.">
      <para num="(1)" heading="In general.">When an annual provider report becomes available, the City shall furnish a copy of each annual provider report to:<para num="(i)">the exclusive employee organizations;</para>
        <para num="(ii)">MAPS;</para>
        <para num="(iii)">the retiree representatives; and</para>
        <para num="(iv)">their consultant.</para>
      </para>
      <para num="(2)" heading="Deadline.">No later than June 15 of each calendar year, each annual provider report shall be furnished to:<para num="(i)">the exclusive employee organizations;</para>
        <para num="(ii)">MAPS;</para>
        <para num="(iii)">the retiree representatives; and</para>
        <para num="(iv)">their consultant.</para>
      </para>
    </para>
    <para num="(f)" heading="Annual provider reports to be discussed.">One of the HIC meetings conducted between June and September of each calendar year shall be used to discuss the annual provider reports for the past plan year.</para>
    <annotation type="History" />
  </section>
</baltimore-city-law>
