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<section article="gin" article_name="Insurance" number="15-1210" title_number="15" title_name="Health Insurance" subtitle_number="12" subtitle_name="Maryland Health Insurance Reform Act">
  <level label="a">
    <text>A carrier that offers coverage to a small employer shall:</text>
    <level label="1">
      <text>offer coverage to all of its eligible employees and all of their eligible dependents; and</text>
    </level>
    <level label="2">
      <text>at the election of the small employer, offer coverage to all of its part–time employees who have a normal workweek of at least 17 1/2 but less than 30 hours per week.</text>
    </level>
  </level>
  <level label="b">
    <level label="1">
      <text>A health maintenance organization need not offer coverage:</text>
      <level label="i">
        <text>to a small employer that is outside of the health maintenance organization’s approved service areas;</text>
      </level>
      <level label="ii">
        <text>to an eligible employee who resides outside of the health maintenance organization’s approved service areas; or</text>
      </level>
      <level label="iii">
        <text>within an area where the health maintenance organization reasonably anticipates, and demonstrates to the satisfaction of the Commissioner, that it will not have the capacity in its network of providers to deliver service adequately because of obligations to existing group contract holders and enrollees.</text>
      </level>
    </level>
    <level label="2">
      <text>A health maintenance organization that does not offer coverage under paragraph (1)(iii) of this subsection may not offer coverage in the applicable area to any employer groups until the later of:</text>
      <level label="i">
        <text>180 days after a refusal to do so; or</text>
      </level>
      <level label="ii">
        <text>the date on which the health maintenance organization notifies the Commissioner that it has regained capacity to deliver services to small employer groups in that area.</text>
      </level>
    </level>
  </level>
  <level label="c">
    <text>A carrier may not be required to offer coverage under §§ 15–1209 and 15–1213 of this subtitle for as long as the Commissioner finds that the coverage would place the carrier in a financially impaired condition.</text>
  </level>
</section>
