§ 15–1A-18
Statutes in effect as of October 1, 2026.
Md. Code Ann., Ins. § 15-1A-18 (2026)
Title 15. Health Insurance
Subtitle 1A. Consumer Protections
§ 15–1A-18LinkCopy Citation
(a)
A carrier may offer a catastrophic plan in the individual market in accordance with the requirements of this section.
(b)
A catastrophic plan may be offered only to individuals who:
(1)
are under the age of 30 years before the beginning of the plan year; or
(2)
hold certification for a hardship exemption or an affordability exemption as required in subsection (c) of this section.
(c)
(1)
Except as provided in paragraph (2) of this subsection, to be offered a catastrophic plan, an individual shall hold certification for a hardship exemption or an affordability exemption under 42 U.S.C. § 5000A.
(2)
If the Maryland Health Benefit Exchange adopts regulations as described under subsection (d) of this section, an individual shall hold certification for a hardship exemption or an affordability exemption under the regulations adopted by the Exchange.
(d)
To the extent necessary, the Maryland Health Benefit Exchange shall adopt regulations that:
(1)
establish a process for issuing hardship exemptions and affordability exemptions; and
(2)
are consistent with 42 U.S.C. § 5000A and any corresponding federal rules and guidance as those provisions were in effect December 31, 2024.
(e)
(1)
Subject to paragraph (2) of this subsection, a catastrophic plan shall provide coverage for essential health benefits.
(2)
A catastrophic plan shall require a deductible that:
(i)
is equal to the annual limit on cost–sharing described in § 15–1A–19 of this subtitle;
(ii)
applies to essential health benefits;
(iii)
does not apply to at least three primary care visits each plan year; and
(iv)
does not apply to any covered benefits for which a deductible is prohibited under this title.