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<section article="gin" article_name="Insurance" number="15-1409" title_number="15" title_name="Health Insurance" subtitle_number="14" subtitle_name="Maryland Health Insurance Portability and Accountability Act -- Large Group Market Reforms">
  <level label="a">
    <text>In this section, “product” means a discrete package of health benefits that are offered using a particular product network type within a geographic service area.</text>
  </level>
  <level label="b">
    <text>A carrier that elects not to renew all of a particular product in the State shall:</text>
    <level label="1">
      <text>provide notice of the nonrenewal at least 90 days before the date of the nonrenewal to each affected:</text>
      <level label="i">
        <text>policyholder;</text>
      </level>
      <level label="ii">
        <text>plan sponsor;</text>
      </level>
      <level label="iii">
        <text>participant; and</text>
      </level>
      <level label="iv">
        <text>beneficiary;</text>
      </level>
    </level>
    <level label="2">
      <text>offer to each affected plan sponsor the option to purchase any other health insurance coverage currently being offered by the carrier; and</text>
    </level>
    <level label="3">
      <text>act uniformly without regard to the claims experience of any affected plan sponsor, or any health status–related factor of any affected individual.</text>
    </level>
  </level>
  <level label="c">
    <text>A carrier may elect not to renew all group health benefit plans in the State.</text>
  </level>
  <level label="d">
    <text>When a carrier elects not to renew all group health benefit plans in the State, the carrier:</text>
    <level label="1">
      <text>shall give notice of its decision to the affected individuals at least 180 days before the effective date of nonrenewal;</text>
    </level>
    <level label="2">
      <text>at least 30 working days before that notice, shall give notice to the Commissioner; and</text>
    </level>
    <level label="3">
      <text>may not write new business for groups in the State for a 5–year period beginning on the date of notice to the Commissioner.</text>
    </level>
  </level>
  <level label="e">
    <text>A health maintenance organization need not offer coverage to an individual who does not live, reside, or work within the health maintenance organization’s approved service areas.</text>
  </level>
  <level label="f">
    <text>A carrier may make a uniform modification of coverage for a product only at the time of renewal of a health benefit plan.</text>
  </level>
  <level label="g">
    <text>A carrier will not be considered to have elected not to renew all group health benefit plans in the State if the carrier complies with 45 C.F.R. § 147.106(d)(3).</text>
  </level>
</section>
