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<section article="gin" article_name="Insurance" number="14-133" title_number="14" title_name="Entities That Act as Health Insurers" subtitle_number="1" subtitle_name="Nonprofit Health Service Plans">
  <level label="a">
    <level label="1">
      <text>In this section the following words have the meanings indicated.</text>
    </level>
    <level label="2">
      <text>“Affiliate” means a person that directly or indirectly, through one or more intermediaries, controls, is controlled by, or is under common control with a corporation subject to this subtitle.</text>
    </level>
    <level label="3">
      <text>“Control” has the meaning stated in § 7–101(c) of this article.</text>
    </level>
    <level label="4">
      <text>“Subsidiary” has the meaning stated in § 7–101(g) of this article.</text>
    </level>
  </level>
  <level label="b">
    <text>A nonprofit health service plan may not invest in or otherwise acquire an affiliate or subsidiary unless:</text>
    <level label="1">
      <text>the affiliate or subsidiary is licensed by the Commissioner; or</text>
    </level>
    <level label="2">
      <level label="i">
        <text>the affiliate or subsidiary is majority owned by the nonprofit health service plan; and</text>
      </level>
      <level label="ii">
        <text>the business of the affiliate or subsidiary is directly related to the operation of the nonprofit health service plan or the administration of a health benefits program.</text>
      </level>
    </level>
  </level>
  <level label="c">
    <level label="1">
      <text>A nonprofit health service plan shall submit a statement of proposed action to the Commissioner before the plan may:</text>
      <level label="i">
        <text>create, acquire, or invest in an affiliate or subsidiary in order to control the affiliate or subsidiary;</text>
      </level>
      <level label="ii">
        <text>alter the structure, organization, purpose, or ownership of the plan or an affiliate or subsidiary of the corporation;</text>
      </level>
      <level label="iii">
        <text>make an investment exceeding $500,000; or</text>
      </level>
      <level label="iv">
        <text>make an investment in an affiliate or subsidiary.</text>
      </level>
    </level>
    <level label="2">
      <text>The nonprofit health service plan shall file the statement of proposed action required under this subsection at least 60 days before the effective date of the proposed action.</text>
    </level>
    <level label="3">
      <text>The nonprofit health service plan may not engage in a proposed action described under paragraph (1)(i) through (iii) of this subsection unless the Commissioner approves the action in writing.</text>
    </level>
    <level label="4">
      <text>The Commissioner shall either approve or disapprove the proposed action within 60 days after the Commissioner receives the statement of proposed action.</text>
    </level>
    <level label="5">
      <text>The Commissioner shall approve a statement of proposed action under this section unless the Commissioner determines the proposed action is contrary to the public interest.</text>
    </level>
  </level>
  <level label="d">
    <text>The Commissioner may authorize a corporation to comply with the law of its domiciliary jurisdiction if the corporation is domiciled in a jurisdiction that has adopted by statute or regulation provisions that limit the ownership and operation of an affiliate or subsidiary in substantially the same manner as provided in this section.</text>
  </level>
  <level label="e">
    <level label="1">
      <text>If an affiliate or subsidiary of a corporation regulated under this subtitle does not comply with this section, the Commissioner shall require the corporation to file a plan of divestiture or liquidation of the affiliate or subsidiary.</text>
    </level>
    <level label="2">
      <text>The plan of divestiture or liquidation:</text>
      <level label="i">
        <text>shall state the reasons for noncompliance clearly;</text>
      </level>
      <level label="ii">
        <text>shall provide the Commissioner with the information that the Commissioner considers necessary to approve the divestiture or liquidation; and</text>
      </level>
      <level label="iii">
        <text>is proprietary and confidential commercial information under § 4–335 of the General Provisions Article.</text>
      </level>
    </level>
    <level label="3">
      <text>Before a divestiture or liquidation under this section, the plan of divestiture or liquidation must be approved by the Commissioner.</text>
    </level>
    <level label="4">
      <text>Any action by the Commissioner under this section may be appealed in accordance with Title 2 of this article.</text>
    </level>
  </level>
</section>
