<?xml version='1.0' encoding='utf-8'?>
<section article="gin" article_name="Insurance" number="15-1408" title_number="15" title_name="Health Insurance" subtitle_number="14" subtitle_name="Maryland Health Insurance Portability and Accountability Act -- Large Group Market Reforms">
  <text>A carrier shall renew group health benefit plans at the option of the policyholder or plan sponsor, except in any of the following cases:</text>
  <level label="1">
    <text>for nonpayment of the required premium;</text>
  </level>
  <level label="2">
    <text>where the policyholder or plan sponsor has performed an act or practice that constitutes fraud;</text>
  </level>
  <level label="3">
    <text>where the policyholder or plan sponsor has made an intentional misrepresentation of material fact under the terms of the coverage;</text>
  </level>
  <level label="4">
    <text>where the policyholder or plan sponsor has failed to comply with a material plan provision relating to the employer contributions or group participation rules;</text>
  </level>
  <level label="5">
    <text>where the carrier elects not to renew all group health benefit plans in the State;</text>
  </level>
  <level label="6">
    <text>in the case of a health maintenance organization, where there is no longer any enrollee who lives, resides, or works in the health maintenance organization’s approved service area, provided notice of the nonrenewal is provided to each employer and to each employee covered under the health benefit plan at least 90 days before the date coverage will be terminated;</text>
  </level>
  <level label="7">
    <text>in the case of a carrier that offers coverage only through one or more bona fide associations, when the membership of an employer in the association ceases and nonrenewal under this item is applied uniformly without regard to any health status–related factor relating to any covered individual; or</text>
  </level>
  <level label="8">
    <text>the carrier makes an election under § 15–1409 of this subtitle.</text>
  </level>
</section>
