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<section article="gin" article_name="Insurance" number="15-1315" title_number="15" title_name="Health Insurance" subtitle_number="13" subtitle_name="Maryland Health Insurance Portability and Accountability Act -- Individual Market Reforms">
  <level label="a">
    <level label="1">
      <text>In this section the following words have the meanings indicated.</text>
    </level>
    <level label="2">
      <text>“Individual Exchange” has the meaning stated in § 31–101 of this article.</text>
    </level>
    <level label="3">
      <text>“Qualified health plan” has the meaning stated in § 31–101 of this article.</text>
    </level>
    <level label="4">
      <text>“Qualified individual” has the meaning stated in § 31–101 of this article.</text>
    </level>
  </level>
  <level label="b">
    <text>This section applies to a qualified health plan that is issued on or after January 1, 2014, by a carrier through the Individual Exchange.</text>
  </level>
  <level label="c">
    <text>A qualified health plan subject to this section shall include a grace period provision applicable to a qualified individual who:</text>
    <level label="1">
      <text>is receiving advance payments of federal premium tax credits; and</text>
    </level>
    <level label="2">
      <text>fails to pay premiums timely.</text>
    </level>
  </level>
  <level label="d">
    <text>The grace period provision shall:</text>
    <level label="1">
      <text>provide a grace period of 3 consecutive months after the initial premium payment to begin coverage has been paid;</text>
    </level>
    <level label="2">
      <text>apply to qualified health plans renewed in accordance with § 15–1309 of this subtitle without the qualified individual having to pay the first month’s premium following renewal; and</text>
    </level>
    <level label="3">
      <text>be in addition to any other grace period provision required by any other applicable State law.</text>
    </level>
  </level>
  <level label="e">
    <text>During the grace period, a carrier that issues a qualified health plan subject to this section:</text>
    <level label="1">
      <text>shall pay all appropriate claims for services rendered to the qualified individual during the first month of the grace period;</text>
    </level>
    <level label="2">
      <text>may pend claims for services rendered to the qualified individual in the second and third months of the grace period;</text>
    </level>
    <level label="3">
      <text>shall notify the federal Department of Health and Human Services that the qualified individual is in the grace period; and</text>
    </level>
    <level label="4">
      <text>shall notify providers of the possibility that claims may be denied when a qualified individual is in the second and third months of the grace period.</text>
    </level>
  </level>
</section>
