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<section article="gin" article_name="Insurance" number="15-1215" title_number="15" title_name="Health Insurance" subtitle_number="12" subtitle_name="Maryland Health Insurance Reform Act">
  <level label="a">
    <level label="1">
      <text>Each carrier shall elect to become either a risk-assuming carrier or reinsuring carrier.</text>
    </level>
    <level label="2">
      <text>The notification of election to become a risk-assuming carrier shall include an appropriate opinion by an independent qualified actuary that the risk-assuming carrier is able to assume and manage the risk of enrolling groups under this subtitle without the protection of the Pool.</text>
    </level>
  </level>
  <level label="b">
    <level label="1">
      <text>The initial election under this section is binding for 3 years.</text>
    </level>
    <level label="2">
      <text>After the initial 3 years, and every 5 years thereafter, each carrier shall again elect to be either a risk-assuming or reinsuring carrier.</text>
    </level>
    <level label="3">
      <text>Each subsequent election is binding for 5 years.</text>
    </level>
    <level label="4">
      <text>The Commissioner may allow a new carrier to make an election under conditions established by the Commissioner.</text>
    </level>
  </level>
  <level label="c">
    <level label="1">
      <text>The Commissioner may allow a carrier to change its election at any time for good cause shown.</text>
    </level>
    <level label="2">
      <text>In determining whether to approve an application by a carrier to change its election, the Commissioner shall consider:</text>
      <level label="i">
        <text>the applicant’s financial condition and the financial condition of any parent or guaranteeing corporation;</text>
      </level>
      <level label="ii">
        <text>the applicant’s history of assuming and managing risk;</text>
      </level>
      <level label="iii">
        <text>the applicant’s commitment to market fairly to all small employers in the State or in the applicant’s service area;</text>
      </level>
      <level label="iv">
        <text>the applicant’s ability to assume and manage the risk of enrolling groups under this subtitle without the protection of the Pool; and</text>
      </level>
      <level label="v">
        <text>the effect of approval of the application on the financial viability of the Pool.</text>
      </level>
    </level>
    <level label="3">
      <text>While the Commissioner is considering an application under this subsection, the carrier may request a hearing as provided under Title 11, Subtitle 5 of this article.</text>
    </level>
  </level>
</section>
